Repetosky, Lynn M
Repetosky, Lynn M is an individual health care provider with primary practice located at 1825 N Gilmore Avenue Peace River Center, Lakeland FL 33805. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Repetosky, Lynn M can be contacted via phone (863) 248-3300.Contact Information
Primary practice address
1825 N Gilmore Avenue Peace River Center
Lakeland FL 33805
Phone: (863) 248-3300
Fax: (863) 582-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH8183 | Florida |
Profile Details
| NPI number | 1558486357 |
|---|---|
| LBN Legal business name | Repetosky, Lynn M |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Aug 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558486357 | NPPES |
| Florida | MEDICAID | 107617700 |
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