MR. DONAVON CLAY LAWRENCE (NPI# 1679735989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679735989 |
| Entity Type | Individual |
| Full Name | MR. DONAVON CLAY LAWRENCE |
| Credential | MT |
| Practice Address |
100 Lake Traverse Dr Sisseton SD 57262-7046 |
| Practice Telephone | 6057423792 |
| Practice Fax Number | 6056983141 |
| Mailing Telephone | 6057423792 |
| Mailing Fax Number | 6056983141 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
100 LAKE TRAVERSE DR |
| City | SISSETON |
| State | SD |
| Zip Code | 57262-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672248 | Harvey H Baker | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2005-07-08 |
| 1275143315 | Kayley Perkins | Pharmacist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-08-04 |
| 1518575174 | Lindsay Dawn Peterson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-07-20 |
| 1629692868 | Patricia Nicole Roth | Counselor | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2020-06-03 |
| 1306487475 | Leah Lorena Federico Rumans | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-09-30 |
| 1437718616 | Sherrie Renae Lee | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2019-06-11 |
| 1942770078 | Jennifer Elizabeth Hanson | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-12-02 |
| 1376037721 | Jaimi Lynn Pochant | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-06-19 |
| 1790274074 | Ferdinand Ekwutosi Enudu | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2018-05-02 |
| 1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149864 | Lewis Family Drug, LLC | Pharmacy | 925 Sd Hwy 10, Sisseton, SD 57262 | 2019-02-04 |
| 1346734696 | Sisseton-wahpeton Oyate | Private Vehicle | 12554 Bia Hwy 711, Agency Village, SD 57262 | 2018-06-20 |
| 1902106925 | Deborah Pauline Francis | Pharmacist | 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 | 2010-10-25 |
| 1508001322 | Trina Marie Cleveland | Registered Nurse | 44942 125th Street, Sisseton, SD 57262 | 2008-12-08 |
| 1467427625 | John Thomas Zimmer | Dentist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-02-21 |
| 1720634132 | Leah Adele Weiss | Pharmacist | 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 | 2019-08-12 |
| 1568906808 | Joshua S Satlak | Pharmacist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2016-12-06 |
| 1205278579 | Katie Elaine Bragg | Registered Nurse | 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 | 2013-07-26 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1619063757 | Valinda Jeanne Redwing White | Nutritionist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-10-05 |
| Find all providers in zip 57262 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1073775557 | Brian E Labelle | Spec/Tech, Pathology | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063711471 | Elizabeth Susan Erickson | Spec/Tech, Pathology | 2400 Fox Rd, Sturgis, SD 57785-2204 | 2011-03-24 |
| 1083933436 | David-rush Douglas Lowe | Spec/Tech, Pathology | 506 6th Ave W, Mobridge, SD 57601-2048 | 2010-05-25 |
| 1477738532 | Gerald Jerome Hotz | Spec/Tech, Pathology | 6080 Coady Ct, Rapid City, SD 57703-9603 | 2008-01-07 |
| 1639641350 | Cindy C Jacobs | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2018-12-19 |
| 1144530544 | Kelly R Wiley | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-10-19 |
| 1689996068 | Joseph Edward Ferber | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-25 |
| 1255663670 | Kelly Joe Thomas | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-10 |
| 1679805162 | Sarah Ann Lantis | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-08 |
| 1073845566 | Jeanette Kay Ofstad | Spec/Tech, Pathology | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2010-02-08 |
| 1346413762 | Leslie Rae Kerwin | Spec/Tech, Pathology | 211 S River St, Chamberlain, SD 57325-1525 | 2008-04-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.