Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER PAUL LACK
ActivePETER PAUL LACK is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in PORT TOWNSEND, Washington. NPI 1033529987 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Psychologist · PORT TOWNSEND, WA
Registration Details
- NPI Number
- 1033529987
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2014 (12.324788885552 yrs)
- Last Updated
- Apr 30, 2014
- License
-
CP00006346 (WA)
Practice Information
- Address
-
3804 HASTINGS AVE WPORT TOWNSEND, WA, 983689642Browse WA providers · Browse ZIP 98368
- Phone
- 3603855505
- Fax
- 3603853605
- Primary Specialty
-
Addiction (Substance Use Disorder) Psychologist
103TA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.