Provider Demographics
NPI:1902112543
Name:LAKELAND AREA HOSPICE LP
Entity Type:Organization
Organization Name:LAKELAND AREA HOSPICE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-838-0511
Mailing Address - Street 1:2221A PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-2979
Mailing Address - Country:US
Mailing Address - Phone:814-838-0511
Mailing Address - Fax:
Practice Address - Street 1:2221A PENINSULA DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-2979
Practice Address - Country:US
Practice Address - Phone:814-838-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based