Lack, Peter Paul

Lack, Peter Paul is an individual health care provider with primary practice located at 3804 Hastings Ave W , Port Townsend WA 98368-9642. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lack, Peter Paul can be contacted via phone (360) 385-5505.

Contact Information

Primary practice address
3804 Hastings Ave W Port Townsend WA 98368-9642
Phone: (360) 385-5505
Fax: (360) 385-3605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X CP00006346 Washington

Profile Details

NPI number 1033529987
LBN Legal business name Lack, Peter Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Apr 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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