Individual ProviderDawn Marie LamannaLicensed Practical NurseNursing Service ProvidersPractice Address472 Bay Ave, Patchogue, NY 11772-4024(631) 786-6924PECOS EnrollmentBased on the most recent information from CMS, provider Dawn Marie Lamanna does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1639643315Provider TypeIndividualFull NameLamanna, Dawn MarieCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date1/16/2019Last Updated1/16/2019Contact InformationPractice LocationPractice Address472 Bay Ave, Patchogue, NY 11772-4024Phone(631) 786-6924FaxUnlisted FaxMailing LocationMailing Address472 Bay Ave, Patchogue, NY 11772-4024Phone(631) 786-6924FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense332445New York