Organization
SUSAN SCHMIDT-LACKNER A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L SCHMIDT-LACKNER MD (PRESIDENT CEO, SECRETARY AND CFO,)
(318) 869-9119
Entity
Organization
Contact information
Practice address
1239 S CAMDEN DR, LOS ANGELES, CA 90035-1111
(310) 869-9119
Mailing address
1239 S CAMDEN DR, LOS ANGELES, CA 90035-1111
(310) 869-9119
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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