Individual
LACI HELMHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4215 SPRING ST, LA MESA, CA 91941-7965
(619) 461-7277
Mailing address
713 LORING ST, SAN DIEGO, CA 92109-1757
(503) 545-8232
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
51447
CA
Other
Enumeration date
03/02/2014
Last updated
02/08/2017
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