Individual
CHRISTINA LACKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 BALFOUR RD, BRENTWOOD, CA 94513-4932
(909) 908-3690
Mailing address
5337 SUNRISE MEADOWS LN, OAKLEY, CA 94561-3109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011127
CA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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