Provider Demographics
NPI:1831321439
Name:LAHR, ROSANNE ODDI (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNE
Middle Name:ODDI
Last Name:LAHR
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:401 HARRIS B DATES DR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1344
Mailing Address - Country:US
Mailing Address - Phone:607-274-6644
Mailing Address - Fax:607-274-6648
Practice Address - Street 1:401 HARRIS B DATES DR
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1344
Practice Address - Country:US
Practice Address - Phone:607-274-6644
Practice Address - Fax:607-274-6648
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266260-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health