Provider Demographics
NPI:1164289146
Name:LANAHAN, CATHERINE J (CPT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:J
Last Name:LANAHAN
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:CELANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPT
Mailing Address - Street 1:PO BOX 1615
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10925-1615
Mailing Address - Country:US
Mailing Address - Phone:845-204-7787
Mailing Address - Fax:
Practice Address - Street 1:1161 STATE ROUTE 17A APT 5
Practice Address - Street 2:
Practice Address - City:GREENWOOD LAKE
Practice Address - State:NY
Practice Address - Zip Code:10925-2260
Practice Address - Country:US
Practice Address - Phone:845-204-7787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2984161246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy