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General NPI Number Information
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NPI Number | 1346363256
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Entity Type | Individual
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Provider Name | MISS DONNA LEWICE HARRIS
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 803 POPLAR STREET MURRAY -CALLOWAY COUNTY HOSPITAL
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City | MURRAY
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State | KY
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Zip | 42071
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Country | US
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Telephone | 270-762-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 715 S 7TH ST
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City | PADUCAH
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State | KY
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Zip | 42003-1825
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Country | US
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Telephone | 270-442-1256
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AO216
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License Number State | KY
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