| Lightworks Psychiatric Services, Inc | |
|
552 S Lancaster St Annville PA 17003-2137 | |
| (717) 304-8633 | |
| Not Available |
| Full Name | Lightworks Psychiatric Services, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 552 S Lancaster St, Annville, Pennsylvania |
| Authorized Official Name and Position | Irene Tetzlaff (CRNP-BC) |
| Authorized Official Contact | 7173048633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightworks Psychiatric Services, Inc 552 S Lancaster St Annville PA 17003-2137 Ph: (717) 304-8633 | Lightworks Psychiatric Services, Inc 552 S Lancaster St Annville PA 17003-2137 Ph: (717) 304-8633 |
| NPI Number | 1417737834 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417737834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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