Basic Information
Provider Information
NPI: 1760701213
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAMNECK
FirstName: ANNEMARIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RPA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1728 SUNRISE HWY
Address2:  
City: MERRICK
State: NY
PostalCode: 115663745
CountryCode: US
TelephoneNumber: 5169924700
FaxNumber: 5169924722
Practice Location
Address1: 36 LINCOLN AVE
Address2:  
City: ROCKVILLE CENTRE
State: NY
PostalCode: 115705768
CountryCode: US
TelephoneNumber: 5165362800
FaxNumber: 5169924722
Other Information
ProviderEnumerationDate: 05/24/2010
LastUpdateDate: 02/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X013876NYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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