Individual
MS. KATHLEEN MARY LANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
930 ALBANY SHAKER RD, LATHAM, NY 12110-6412
(518) 220-9413
(518) 220-9417
Mailing address
5752 LAKE RD, GALWAY, NY 12074-2822
(518) 882-9878
(518) 220-9417
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302285-1
NY
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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