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Contact Information

LAKE BEHAVIORAL HEALTH MANAGEMENT
225 W CANTON AVE STE 600
WINTER PARK, FL32789-3181
 Phone: 407-622-8086
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAKE BEHAVIORAL HEALTH MANAGEMENT · (Female)

NPI # 1356811897
Status Active
Credentials
Entity Individual
Enumeration date 11/27/2018
Last updated 11/27/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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