Organization
SERENITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORI LYN LALANNE CMF (OWNER)
(760) 699-8685
Entity
Organization
Contact information
Practice address
69930 HIGHWAY 111, STE 102, RANCHO MIRAGE, CA 92270-2850
(760) 699-8685
(760) 699-8690
Mailing address
69930 HIGHWAY 111, STE 102, RANCHO MIRAGE, CA 92270-2850
(760) 699-8685
(760) 699-8690
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C36397
CA
Other
Enumeration date
08/01/2008
Last updated
04/15/2015
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