Provider Demographics
NPI:1952852105
Name:LPA CO.
Entity Type:Organization
Organization Name:LPA CO.
Other - Org Name:LAWRENCE PINCUS & ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MOKRZYCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-252-5464
Mailing Address - Street 1:2005 VALPARAISO ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-3329
Mailing Address - Country:US
Mailing Address - Phone:219-252-5464
Mailing Address - Fax:219-728-1860
Practice Address - Street 1:2005 VALPARAISO ST
Practice Address - Street 2:SUITE 209
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3329
Practice Address - Country:US
Practice Address - Phone:219-252-5464
Practice Address - Fax:219-728-1860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200970800AMedicaid
INM100017718OtherMEDICARE PTAN