Healthcare Provider Details

I. General information

NPI: 1740687482
Provider Name (Legal Business Name): DEANNA FRANKE PHD, DABCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 REMITTANCE DR DEPT 6601
CHICAGO IL
60675-6601
US

IV. Provider business mailing address

2500 SUMNER BLVD
RALEIGH NC
27616-3235
US

V. Phone/Fax

Practice location:
  • Phone: 877-547-6837
  • Fax:
Mailing address:
  • Phone: 919-256-1098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License NumberFRAND3
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: