Individual
DR. DONNA LAVANTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
905 N FRONT ST, NILES, MI 49120-1677
(503) 522-5470
(269) 683-6888
Mailing address
905 N FRONT ST, NILES, MI 49120-1677
(269) 683-6800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017832
MI
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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