National Provider Identifier
Kathleen M Lacson, PMHNP
Kathleen M Lacson, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Ithaca, NY and a listed phone number of (917) 887-0031.
Profile Overview
- NPI
- 1891769907
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- February 15, 2006
- Last Updated
- February 12, 2024
Practice Location
- 832 Hanshaw RD Fl 2
- Ithaca, NY 14850-1548
Phone: (917) 887-0031
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1891769907
- Entity Type
- Individual
- Last Name
- Lacson
- First Name
- Kathleen
- Middle Name
- M
- Credential
- PMHNP
- Mailing Street Address
- 832 Hanshaw RD Fl 2
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1548
- Mailing Country
- US
- Mailing Phone
- (917) 887-0031
- Mailing Fax
- (607) 793-6149
- Practice Street Address
- 832 Hanshaw RD Fl 2
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1548
- Practice Country
- US
- Practice Phone
- (917) 887-0031
- Practice Fax
- (607) 793-6149
- Enumeration Date
- February 15, 2006
- Last Updated
- February 12, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Certified Registered Nurse Anesthetist (367500000X)