Provider Demographics
NPI:1689059727
Name:LASHOMB, CASSANDRA LYNN (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:LYNN
Last Name:LASHOMB
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:31 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-1009
Mailing Address - Country:US
Mailing Address - Phone:315-769-1099
Mailing Address - Fax:315-705-4969
Practice Address - Street 1:31 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-1009
Practice Address - Country:US
Practice Address - Phone:315-769-1099
Practice Address - Fax:315-705-4969
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2024-11-20
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Provider Licenses
StateLicense IDTaxonomies
NY018735363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant