Individual
DEANNA S. DONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2514 BERT KOUNS INDUSTRIAL LOOP, SUITE 3, SHREVEPORT, LA 71118-3146
(318) 212-5060
(318) 212-5025
Mailing address
1202 LOUISIANA AVE, SHREVEPORT, LA 71101-3910
(318) 212-5060
(318) 212-5025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023631
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486671
—
LA
Enumeration date
06/24/2006
Last updated
03/06/2019
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