Provider Demographics
NPI:1306083753
Name:DONIS, MELANIE LYNN (DVM)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:LYNN
Last Name:DONIS
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:MELANIE
Other - Middle Name:LYNN
Other - Last Name:MACCUBBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:28105 THREE NOTCH RD
Mailing Address - Street 2:UNIT D
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3235
Mailing Address - Country:US
Mailing Address - Phone:301-884-7213
Mailing Address - Fax:
Practice Address - Street 1:28105 THREE NOTCH RD
Practice Address - Street 2:UNIT D
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3235
Practice Address - Country:US
Practice Address - Phone:301-884-7213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4900174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian