Provider Demographics
NPI:1386049062
Name:LAMELA, JANE (LPN)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:LAMELA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S CAMERON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2809
Mailing Address - Country:US
Mailing Address - Phone:717-233-7290
Mailing Address - Fax:717-233-5334
Practice Address - Street 1:99 S CAMERON ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2809
Practice Address - Country:US
Practice Address - Phone:717-233-7290
Practice Address - Fax:717-233-5334
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN105530L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse