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Individual

DANA LEA DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
900 EDWARDS DR, PLAINFIELD, IN 46168
(317) 839-2368
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003301
IN
152W00000X
Optometrist
Primary
18003301A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200483920
IN
Enumeration date
08/10/2005
Last updated
01/22/2021
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