Provider Demographics
NPI:1144851510
Name:IRWIN, DONNA LYNN (LM544)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:IRWIN
Suffix:
Gender:F
Credentials:LM544
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 HILL DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6208
Mailing Address - Country:US
Mailing Address - Phone:760-979-3038
Mailing Address - Fax:
Practice Address - Street 1:168 HILL DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6208
Practice Address - Country:US
Practice Address - Phone:760-979-3038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM544176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife