Provider Demographics
NPI:1285107417
Name:LACERTE, ANETA KATARZYNA
Entity type:Individual
Prefix:MRS
First Name:ANETA
Middle Name:KATARZYNA
Last Name:LACERTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ANGIE DR
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5011
Mailing Address - Country:US
Mailing Address - Phone:914-384-1195
Mailing Address - Fax:
Practice Address - Street 1:14 ANGIE DR
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-5011
Practice Address - Country:US
Practice Address - Phone:914-384-1195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist