Provider Demographics
NPI:1518956846
Name:LAMOREAUX, SHELDON C JR (CRNA)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:C
Last Name:LAMOREAUX
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:SKIP
Other - Middle Name:C
Other - Last Name:LAMOREAUX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:806 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-1839
Mailing Address - Country:US
Mailing Address - Phone:717-533-9273
Mailing Address - Fax:717-520-0462
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-299-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN289892L367500000X
PARN-289892-L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1437122OtherHIGH MARK INS.
2121643000OtherIBC
PA50070151OtherCAPITAL ADVANTAGE
PA33628OtherGEISINGER
PA013707Medicare PIN
013707QCYMedicare PIN