Provider Demographics
NPI:1528725967
Name:BARTOL-KUHLMAN, LARA
Entity type:Individual
Prefix:
First Name:LARA
Middle Name:
Last Name:BARTOL-KUHLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7369 FOREST VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48144-9544
Mailing Address - Country:US
Mailing Address - Phone:419-215-6991
Mailing Address - Fax:
Practice Address - Street 1:7369 FOREST VALLEY RD
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:MI
Practice Address - Zip Code:48144-9544
Practice Address - Country:US
Practice Address - Phone:419-215-6991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)