Individual
LAURIE LYNNE GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
5335 CRANER AVE, N HOLLYWOOD, CA 91601-3313
(818) 927-4045
(818) 927-4016
Mailing address
2877 LANCER AVE, POMONA, CA 91768-2513
(909) 938-7306
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
25538
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417505702
—
CA
Enumeration date
08/29/2019
Last updated
07/20/2023
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