institution
Lakeside Mental Health, Pllc
Psychiatric/Mental Health Nurse Practitioner in Lakeville, Massachusetts
NPI 1619494168

Lakeside Mental Health, Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Lakeville, MA and is specialized in Psychiatric/Mental Health. Lakeside Mental Health, Pllc practices in Lakeville, MA. The NPI Number for Lakeside Mental Health, Pllc is 1619494168 and holds a License No. 2992320 (Massachusetts).

The current practice location address for Lakeside Mental Health, Pllc is 104 Charles Eldridge Drive Ste 1, Lakeville, MA and can be reached out via phone at 774-213-9332.

Location: 104 Charles Eldridge Drive Ste 1, Lakeville, MA, 02347
institution
Provider Profile Details
NPI Number
1619494168
Provider Name
Lakeside Mental Health, Pllc
Credential
Provider Entity Type
Organization
Address
104 Charles Eldridge Drive Ste 1, Lakeville, MA, 02347
Phone Number
774-213-9332
Fax Number
Provider Enumeration Date
08/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Charles Eldridge Drive Ste 1
City
State
Zip
02347-1388
Phone Number
774-213-9332
Fax Number
person
Provider Business Mailing Address Details
Address
104 Charles Eldridge Drive Ste 1
City
State
Zip
02347-1388
Phone Number
774-213-9332
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2992320 (Massachusetts)
Definition
Definition to come...
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