Provider Demographics
NPI:1275577991
Name:LAMENDOLA, LYNNETTE MARIE (ARNP)
Entity Type:Individual
Prefix:MS
First Name:LYNNETTE
Middle Name:MARIE
Last Name:LAMENDOLA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:LYNNETTE
Other - Middle Name:MARIE
Other - Last Name:GIRJASHANKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:500 TRINITY LN N
Mailing Address - Street 2:11105
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1215
Mailing Address - Country:US
Mailing Address - Phone:321-917-8643
Mailing Address - Fax:
Practice Address - Street 1:BAY PINES VA MEDICAL CENTER
Practice Address - Street 2:10000 BAY PINES BLVD.
Practice Address - City:BAY PINES
Practice Address - State:FL
Practice Address - Zip Code:33744
Practice Address - Country:US
Practice Address - Phone:727-398-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3126672363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health