Organization · Type 2 NPI
Lake Effect Healing PC
Psychiatric/Mental Health Nurse Practitioner · Michigan City, IN
NPI number
1912693466
Active
Practice location
613 Franklin St Ste C
Michigan City, IN 46360-3411
Fax (888) 915-0644
Mailing address
613 Franklin St
Michigan City, IN 46360-3411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1912693466
Lake Effect Healing PC's National Provider Identifier is 1912693466, issued on Apr 17, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Michigan City, IN. The record was last updated on Apr 17, 2023.