Provider Demographics
NPI:1548097066
Name:LAUER, DONNA SOPHIA (RN)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SOPHIA
Last Name:LAUER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-6038
Mailing Address - Country:US
Mailing Address - Phone:715-864-1577
Mailing Address - Fax:
Practice Address - Street 1:825 FERRY ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-6038
Practice Address - Country:US
Practice Address - Phone:715-864-1577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI173592163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse