Individual
STEPHANIE LAMBOURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E HOLT AVE, B, POMONA, CA 91767-5406
(909) 620-2521
Mailing address
160 E HOLT AVE, B, POMONA, CA 91767-5406
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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