| Lakeside Center | |
|
6515 George Washington Mem Hwy # 101 Yorktown VA 23692-2182 | |
| (757) 714-1838 | |
| (757) 321-6269 |
| Full Name | Lakeside Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6515 George Washington Mem Hwy, Yorktown, Virginia |
| Authorized Official Name and Position | Linda Leitch-alford (OWNER) |
| Authorized Official Contact | 7578740468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Center Po Box 13296 Chesapeake VA 23325-0296 Ph: (757) 714-1838 | Lakeside Center 6515 George Washington Mem Hwy # 101 Yorktown VA 23692-2182 Ph: (757) 714-1838 |
| NPI Number | 1043697832 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043697832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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