Basic Information
| Provider Information | |||||||||
| NPI: | 1003144957 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LACHMAN | ||||||||
| FirstName: | OERMILADEBIE | ||||||||
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| Credential: | CNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8639 SNOWFIRE DR | ||||||||
| Address2: | ORLANDO | ||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328185675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4079286136 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 506 SABAL TRAIL CIR | ||||||||
| Address2: | |||||||||
| City: | LONGWOOD | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327796128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4077881883 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2009 | ||||||||
| LastUpdateDate: | 12/03/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WH0200X | 35711 | FL | Y | Nursing Service Providers | Registered Nurse | Home Health |
No ID Information.