Peter Paul Lack

NPI #1033529987 in Port Townsend, Washington

Provider Information

NPI Number
1033529987
Entity Type
Individual
Name
Peter Paul Lack
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Addiction (Substance Use Disorder)
Enumeration Date
Apr 30, 2014
Last Updated
Apr 30, 2014

Practice Location

Address
3804 HASTINGS AVE W
ZIP Code
98368-9642
Phone
(360) 385-5505

Specialties & Taxonomy Codes

Specialty
Psychologist - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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