Provider Demographics
NPI:1205083748
Name:LASCALA, CHRISTINA (LPN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:LASCALA
Suffix:
Gender:M
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:HC 88 BOX 1575
Mailing Address - Street 2:
Mailing Address - City:POCONO LAKE
Mailing Address - State:PA
Mailing Address - Zip Code:18347-9619
Mailing Address - Country:US
Mailing Address - Phone:631-846-6479
Mailing Address - Fax:
Practice Address - Street 1:HC 88 BOX 1575
Practice Address - Street 2:
Practice Address - City:POCONO LAKE
Practice Address - State:PA
Practice Address - Zip Code:18347-9619
Practice Address - Country:US
Practice Address - Phone:631-846-6479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY272612164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse