Donna Lynn Lackore Swanson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001781 Issued in VA

Practice address

2501 Parkers LN
Alexandria, VA 22306-3209

Phone

(703) 664-7264

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pure Dermatology LLC

  • Dermatology Physician
  • Metairie, LA
  • NPI 1750844361
  Medicare reassignment
• Bopp Dermatology and Facial Plastic Surgery

  • Specialist
  • Metairie, LA
  • NPI 1699148882
  NPD (past)
• Mara Haseltine MD LLC

  • Dermatology Physician
  • Metairie, LA
  • NPI 1821551573
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699789859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 SUMMERTON WAY",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 PARKERS LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063209",
            "telephone_number": "703-664-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DONNA",
        "middle_name": "LYNN LACKORE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Fortnum Consulting LLC
• Svandis Geirsdottir LCSW LLC
• Ravi Srinivas Swamy, M.D., M.P.H.
• Harvey Frank Swan, MD
• Lisa Michele Swann, LPC
• Katey Swanson, R.D.
• Stacey M Swartz, PHARM.D.
• Sweet Speech Therapy, LLC
• Lacinda Swen, LCSW
• Switchboard Health, Inc.

• Physician Assistant in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.