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Organization
MAAT
Active
Organization
MAAT
Active
Other names
Gravity Wellness BHS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE LENFORD PSY.D (I/O PSYCHOLOGIST)
(310) 388-2611
Entity
Organization
Contact information
Practice address
3500 W MANCHESTER BLVD UNIT 349, INGLEWOOD, CA 90305-4349
(323) 855-7527
Mailing address
6230 WILSHIRE BLVD STE A, LOS ANGELES, CA 90048-5126
(310) 388-2611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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