Organization
LIGHTWORKS PSYCHIATRIC SERVICES, INC
Active
Other names
Lightworks Psychiatric Services, Inc, psychiatric services
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE TETZLAFF (CRNP-BC)
(717) 304-8633
Entity
Organization
Contact information
Practice address
552 S LANCASTER ST, ANNVILLE, PA 17003-2137
(717) 304-8633
Mailing address
552 S LANCASTER ST, ANNVILLE, PA 17003-2137
(717) 304-8633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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