| Lakeland Psychiatrics | |
|
1300 State St Suite 1b La Porte IN 46350-3185 | |
| (219) 326-0000 | |
| (219) 326-0040 |
| Full Name | Lakeland Psychiatrics |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1300 State St, La Porte, Indiana |
| Authorized Official Name and Position | Mary T Mcdermott (VICE PRESIDENT, COO) |
| Authorized Official Contact | 2193262489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Psychiatrics 1100 Lincolnway La Porte IN 46350-3289 Ph: (219) 326-2489 | Lakeland Psychiatrics 1300 State St Suite 1b La Porte IN 46350-3185 Ph: (219) 326-0000 |
| NPI Number | 1114038908 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114038908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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