Provider Demographics
NPI:1154601284
Name:LAMA, CATHERINE SCHANO (RN)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:SCHANO
Last Name:LAMA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LEIFS WAY
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1080
Mailing Address - Country:US
Mailing Address - Phone:607-592-7333
Mailing Address - Fax:
Practice Address - Street 1:5 LEIFS WAY
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1080
Practice Address - Country:US
Practice Address - Phone:607-592-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-21
Last Update Date:2011-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22616084163W00000X, 163WC3500X, 163WH0500X, 163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical