Provider Demographics
NPI:1144564592
Name:LEMBO, CAROL M (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:M
Last Name:LEMBO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 COUNTY ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:PARISH
Mailing Address - State:NY
Mailing Address - Zip Code:13131-4203
Mailing Address - Country:US
Mailing Address - Phone:315-532-0928
Mailing Address - Fax:
Practice Address - Street 1:86 COUNTY ROUTE 22
Practice Address - Street 2:
Practice Address - City:PARISH
Practice Address - State:NY
Practice Address - Zip Code:13131-4203
Practice Address - Country:US
Practice Address - Phone:315-532-0928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-23
Last Update Date:2012-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY360124-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health