Donna Lynn Provenzola
- Female
Medical Specialty
Professional ID
- NPI: 1568534972
- PECOS ID: 3577589597
- Enrollment ID: I20051019000742
- Credential(MD, DO, DPM): CSW
- Medical School:
- Medical School Graduation Year: 2000
Location
- Address1: 1400 B Browns Ln
- Address2: Suite 212
- City: Louisville
- State: Kentucky
- Zip Code: 40207
- Phone Number: (502)721-7522
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):