Provider Demographics
NPI:1861592032
Name:MCDONALD, THERESA LAWLOR (ARNP)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:LAWLOR
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 E DAVENPORT ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-3013
Mailing Address - Country:US
Mailing Address - Phone:319-358-6949
Mailing Address - Fax:
Practice Address - Street 1:2401 TOWNCREST LN
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6630
Practice Address - Country:US
Practice Address - Phone:319-338-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAF077233163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory