Individual
ELISA MARIE LUNSFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Mailing address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 593-2581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/03/2008
Last updated
05/12/2017
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