Provider Demographics
NPI:1669178000
Name:DONOHUE, ALANA (BS, IBCLC)
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:BS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-9166
Mailing Address - Country:US
Mailing Address - Phone:704-743-7344
Mailing Address - Fax:
Practice Address - Street 1:624 CHURCH ST N
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4320
Practice Address - Country:US
Practice Address - Phone:704-743-7344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-131987174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN