Doctor Name: | RENA LAMM |
NPI Number: | 1043625254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 40 Grandview Ave Spring Valley, NY - 109771626 |
Business Phone Number: | 8453690191 |
Business Fax Number: | |
Mailing Address: | 14 Dalewood Dr, SUFFERN |
State: | NY |
Postal Code: | 109014309 |
Phone Number: | 8454610078 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2014 |
NPI Last Update Date: | 06/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |