| NPI | 1871775254 |
|---|---|
| Doing Business As | LAKELAND PYSCHIATRICS |
| Entity Type | Organization |
| Authorized Contact | DIANA LUNDELL Director 219-325-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |