Provider Demographics
NPI:1104916071
Name:LAMONT, SHARON ELAINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ELAINE
Last Name:LAMONT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ELAINE
Other - Last Name:DEPTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:805 ELIZABETH PL
Mailing Address - Street 2:
Mailing Address - City:NORTHERN CAMBRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15714-1430
Mailing Address - Country:US
Mailing Address - Phone:814-948-5642
Mailing Address - Fax:
Practice Address - Street 1:1402 9TH AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-2415
Practice Address - Country:US
Practice Address - Phone:814-940-2000
Practice Address - Fax:814-569-1878
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN101251L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse