MEDICARE: CHRISTINE L. LEMKE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1497406003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE L. LEMKE, LLC

Provider Business Mailing Address
First Line	:	2009 YALE AVE
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-5450
Country	:	US
Telephone Number	:	717-919-4662
Fax Number	:

Provider Business Practice Location Address
First Line	:	2009 YALE AVE
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-5450
Country	:	US
Telephone Number	:	717-919-4662
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINE LOUISE LEMKE
Credential	:	LPC
Telephone Number	:	717-919-4662

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	01/15/2022

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