Lacks, Lee Todd

Lacks, Lee Todd is an sole proprietor health care provider with primary practice located at 9 Lemont Ave , South Portland ME 04106-5717. He recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Lacks, Lee Todd can be contacted via phone (207) 210-6045.

Contact Information

Primary practice address
9 Lemont Ave South Portland ME 04106-5717
Phone: (207) 210-6045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X XL3782 Maine
Agencies / Community/Behavioral Health 251S00000X XL3782 Maine

Profile Details

NPI number 1285918383
LBN Legal business name Lacks, Lee Todd
Credentials LCPC-C, MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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