Basic Information
| Provider Information | |||||||||
| NPI: | 1063419802 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LEMIEUX | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | C.R.N.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19417 E CRESTRIDGE CIR | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800153735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204901770 | ||||||||
| FaxNumber: | 3032055534 | ||||||||
| Practice Location | |||||||||
| Address1: | 2690 SOUTHFIELD DRIVE | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174034510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177411414 | ||||||||
| FaxNumber: | 7177414774 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 08/02/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN600035 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
ID Information
| ID | Type | State | Issuer | Description | 139493ZB1B | 01 | PA | MEDICARE | OTHER | 38207770 | 05 | CO | MEDICAID | 1022175010001 | 01 | PA | MEDICAID | OTHER | 50081382 | 01 | PA | CAPITAL BLUECROSS | OTHER | 002075386 | 01 | PA | BLUE SHIELD | OTHER | 121175 | 01 | PA | GEISINGER HEALTH PLAN | OTHER | P00671085 | 01 | GA | RAILROAD MEDICARE | OTHER | 259918 | 01 | PA | UNISON HEALTH PLAN | OTHER |