Provider Demographics
NPI:1497702393
Name:LAHUT, BARBARA K (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:LAHUT
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:711 TROY SCHENECTADY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2442
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:250 DELAWARE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1401
Practice Address - Country:US
Practice Address - Phone:518-274-0476
Practice Address - Fax:518-274-0497
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2015-09-17
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Provider Licenses
StateLicense IDTaxonomies
NYF360211363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01879221Medicaid
NY01879221Medicaid
NYJ400099357Medicare PIN
NY01879221Medicaid