Donaldson, Laurie Diane

Donaldson, Laurie Diane is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr Lobby A, Ann Arbor MI 48105-9484. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Donaldson, Laurie Diane can be contacted via phone (734) 930-7400.

Contact Information

Primary practice address
24 Frank Lloyd Wright Dr Lobby A Ann Arbor MI 48105-9484
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301086674 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 4301086674 Michigan

Profile Details

NPI number 1720189632
LBN Legal business name Donaldson, Laurie Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720189632 NPPES
Michigan MEDICAID 4828620

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