| Lisa Hawk, Msw, Lisw, Rpt, P.l.c. | |
|
1221 Park Pl Ne Suite G4 Cedar Rapids IA 52402-2001 | |
| (319) 721-1022 | |
| Not Available |
| Full Name | Lisa Hawk, Msw, Lisw, Rpt, P.l.c. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1221 Park Pl Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Lisa Hawk (OPERATING MANAGER) |
| Authorized Official Contact | 3197211022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Hawk, Msw, Lisw, Rpt, P.l.c. 7814 Burr Ridge Ct Ne Cedar Rapids IA 52402-6729 Ph: (319) 721-1022 | Lisa Hawk, Msw, Lisw, Rpt, P.l.c. 1221 Park Pl Ne Suite G4 Cedar Rapids IA 52402-2001 Ph: (319) 721-1022 |
| NPI Number | 1780840215 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780840215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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