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NPI Code Detail

MEDICARE: SARA B. LEMKE M.A., LPC

MEDICARE: SARA B. LEMKE M.A., LPC
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
1101YP2500XProfessional Counselor178006182IL

General Provider Information

NPI Number : 1932427275
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA B. LEMKE M.A., LPC
Provider Business Mailing Address
First Line : 42 EAST ST
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-4400
Country : US
Telephone Number : 815-382-9691
Fax Number :
Provider Business Practice Location Address
First Line : 330 W TERRA COTTA AVE STE 4
Second Line :
City : CRYSTAL LAKE
State : IL
Zip : 60014-3552
Country : US
Telephone Number : 815-382-9691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2010
Last Update Date : 02/02/2021

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