Provider Demographics
NPI:1235479940
Name:LEMKE, LYNETTE APRIL (MA, ATR)
Entity type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:APRIL
Last Name:LEMKE
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:APRIL
Other - Last Name:THICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATR
Mailing Address - Street 1:118 MONAHAN AVE
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-1700
Mailing Address - Country:US
Mailing Address - Phone:570-344-5327
Mailing Address - Fax:
Practice Address - Street 1:118 MONAHAN AVE
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-1700
Practice Address - Country:US
Practice Address - Phone:570-344-5327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28848149101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)