Provider Demographics
NPI:1447708086
Name:WINGES, DONNA MAY (LAC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MAY
Last Name:WINGES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23560 LYONS AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5771
Mailing Address - Country:US
Mailing Address - Phone:661-556-9900
Mailing Address - Fax:661-556-9900
Practice Address - Street 1:23560 LYONS AVE STE 224
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5771
Practice Address - Country:US
Practice Address - Phone:661-556-9900
Practice Address - Fax:661-556-9900
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14617171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist