| Lake Therapy Llc | |
|
100 Highlands Dr Suite 301c Lititz PA 17543-7693 | |
| (717) 575-3757 | |
| (717) 620-3285 |
| Full Name | Lake Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Highlands Dr, Lititz, Pennsylvania |
| Authorized Official Name and Position | Alexis Lake (OWNER/THERAPIST) |
| Authorized Official Contact | 7175753757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Therapy Llc 100 Highlands Dr Suite 301c Lititz PA 17543-7693 Ph: (717) 575-3757 | Lake Therapy Llc 100 Highlands Dr Suite 301c Lititz PA 17543-7693 Ph: (717) 575-3757 |
| NPI Number | 1497105233 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497105233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 127241 (Pennsylvania) | Primary |
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