Provider Demographics
NPI:1598930570
Name:LACAMBRA, VERONICA WACOY (RN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:WACOY
Last Name:LACAMBRA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:BABY GIRL VERONICA
Other - Middle Name:WACOY
Other - Last Name:LACAMBRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1222 STONE RIDGE DR
Mailing Address - Street 2:APARTMENT D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4125
Mailing Address - Country:US
Mailing Address - Phone:614-205-0791
Mailing Address - Fax:
Practice Address - Street 1:1222 STONE RIDGE DR
Practice Address - Street 2:APARTMENT D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-4125
Practice Address - Country:US
Practice Address - Phone:614-205-0791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH321050163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical