Individual
ELISE LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 GEORGIA ST APT 201, SAN DIEGO, CA 92103-2532
(970) 380-0984
Mailing address
4155 GEORGIA ST APT 201, SAN DIEGO, CA 92103-2532
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
28142
CA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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