Provider Demographics
NPI:1720476955
Name:LARDANI, VERONICA (CRNA)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:LARDANI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 SUMMERCROFT DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-3049
Mailing Address - Country:US
Mailing Address - Phone:267-240-2575
Mailing Address - Fax:
Practice Address - Street 1:1001 JAMES DR
Practice Address - Street 2:
Practice Address - City:LEESPORT
Practice Address - State:PA
Practice Address - Zip Code:19533-8866
Practice Address - Country:US
Practice Address - Phone:267-372-0591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA104881367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered