Provider Demographics
NPI:1609452861
Name:LAMEY, PEARLETTA EMONE (LPN)
Entity Type:Individual
Prefix:MS
First Name:PEARLETTA
Middle Name:EMONE
Last Name:LAMEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 BROAD ST FL 2
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-3236
Mailing Address - Country:US
Mailing Address - Phone:860-478-0244
Mailing Address - Fax:
Practice Address - Street 1:93 BROAD ST FL 2
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3236
Practice Address - Country:US
Practice Address - Phone:860-478-0244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT40428164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse