Provider Demographics
NPI:1518363688
Name:LAKOTA HEALTHCARE
Entity Type:Organization
Organization Name:LAKOTA HEALTHCARE
Other - Org Name:THE SINGER GROUP, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, CRNP
Authorized Official - Phone:570-226-2200
Mailing Address - Street 1:2489 ROUTE 6
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-6078
Mailing Address - Country:US
Mailing Address - Phone:570-226-2200
Mailing Address - Fax:570-226-2208
Practice Address - Street 1:2489 US ROUTE 6
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428
Practice Address - Country:US
Practice Address - Phone:570-226-2200
Practice Address - Fax:570-226-2208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SINGER GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP003863B261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care