Provider Demographics
NPI:1346582889
Name:LHAMO, JIGME
Entity Type:Individual
Prefix:MS
First Name:JIGME
Middle Name:
Last Name:LHAMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 102ND ST
Mailing Address - Street 2:APT. 3A
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4825
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4017 102ND ST
Practice Address - Street 2:APT. 3A
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-4825
Practice Address - Country:US
Practice Address - Phone:608-628-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY662258163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse