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NPI Code Detail

MEDICARE: PAMELA LACHS PA-C

MEDICARE: PAMELA LACHS PA-C
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
1363A00000XPhysician Assistant020816-1NY

General Provider Information

NPI Number : 1629507629
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA LACHS PA-C
Provider Business Mailing Address
First Line : 83 KOEHL ST
Second Line :
City : MASSAPEQUA PARK
State : NY
Zip : 11762-2212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 GARDEN CITY PLZ STE 111
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-3336
Country : US
Telephone Number : 516-246-8800
Fax Number : 516-559-4617
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 09/09/2022

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Directions to “ PAMELA LACHS PA-C” Practice Location

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