MEDICARE: MS. MINGMA LAMA RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	879991	NY

General Provider Information

NPI Number	:	1306658323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MINGMA LAMA RN

Provider Business Mailing Address
First Line	:	3346 92ND ST APT 3M
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1836
Country	:	US
Telephone Number	:	646-919-3901
Fax Number	:

Provider Business Practice Location Address
First Line	:	3346 92ND ST APT 3M
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1836
Country	:	US
Telephone Number	:	646-919-3901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2025
Last Update Date	:	01/25/2025

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