Individual
LISA SONIN LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3123 W AVENUE L8, LANCASTER, CA 93536-3407
(661) 233-6771
(661) 941-4495
Mailing address
43706 SENTRY LN, LANCASTER, CA 93536-5864
(661) 233-6771
(661) 206-9340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB809A
PTAN
CA
Enumeration date
06/30/2006
Last updated
07/10/2025
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