Individual
MRS. LORI ELIZABETH BOYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15217 SAN BERNARDINO AVE, FONTANA, CA 92335-5327
(951) 643-2150
Mailing address
PO BOX 342, LAKE ARROWHEAD, CA 92352-0342
(951) 966-6216
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
22265
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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