Individual
MS. SUSAN GRACE LECKBAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, BCPP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, 119, LA JOLLA, CA 92037-1806
(858) 552-8585
(858) 552-4336
Mailing address
3350 LA JOLLA VILLAGE DR, 119, LA JOLLA, CA 92037-1806
(858) 552-8585
(858) 552-4336
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
47907
CA
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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