| Kathleen Lacson, Np | |
|
840 Hanshaw Rd Ste 8 Ithaca NY 14850-1589 | |
| (607) 592-0448 | |
| (607) 793-6149 |
| Full Name | Kathleen Lacson, Np |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 840 Hanshaw Rd Ste 8, Ithaca, New York |
| Authorized Official Name and Position | Karen Mathews (BILLING DEPT) |
| Authorized Official Contact | 6072667600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Lacson, Np 840 Hanshaw Rd Ste 8 Ithaca NY 14850-1589 Ph: (607) 592-0448 | Kathleen Lacson, Np 840 Hanshaw Rd Ste 8 Ithaca NY 14850-1589 Ph: (607) 592-0448 |
| NPI Number | 1922759828 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 01/12/2022 |
| Certification Date | 01/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922759828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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