Provider Demographics
NPI:1629435250
Name:LASCALA, ALICIA (LPN)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:LASCALA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:ARTHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:1 CONWAY CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2108
Mailing Address - Country:US
Mailing Address - Phone:518-274-6525
Mailing Address - Fax:518-274-6511
Practice Address - Street 1:1023 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12307-1511
Practice Address - Country:US
Practice Address - Phone:518-243-3300
Practice Address - Fax:518-377-9151
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213354164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse