Provider Demographics
NPI:1497406003
Name:CHRISTINE L. LEMKE, LLC
Entity Type:Organization
Organization Name:CHRISTINE L. LEMKE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:LEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-919-4662
Mailing Address - Street 1:2009 YALE AVE
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5450
Mailing Address - Country:US
Mailing Address - Phone:717-919-4662
Mailing Address - Fax:
Practice Address - Street 1:2009 YALE AVE
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5450
Practice Address - Country:US
Practice Address - Phone:717-919-4662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health