Organization
LPA CO.
Active
Other names
Lawrence Pincus & Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLIE MARIE MOKRZYCKI (PRACTICE MANAGER)
(219) 252-5464
Entity
Organization
Contact information
Practice address
2005 VALPARAISO ST, SUITE 209, VALPARAISO, IN 46383-3329
(219) 252-5464
(219) 728-1860
Mailing address
2005 VALPARAISO ST, SUITE 209, VALPARAISO, IN 46383-3329
(219) 252-5464
(219) 728-1860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
IN
106H00000X
Marriage & Family Therapist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200970800A
—
IN
01
—
M100017718
MEDICARE PTAN
IN
Enumeration date
10/21/2016
Last updated
10/21/2016
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