Individual
CHRISTIE ANNE LACISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7000 BOULDER AVE, HIGHLAND, CA 92346-3348
(909) 862-1191
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95020354
CA
Other
Enumeration date
05/11/2022
Last updated
12/28/2025
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