Individual
DR. DONNA LORRAINE TICKNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0086372
MD
2084P0800X
Psychiatry Physician
MD32440
DC
Other
Enumeration date
01/19/2007
Last updated
05/15/2024
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