Individual
LISA J LAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
1415 LEYTE RD APT C, CORONADO, CA 92118-3180
(619) 710-9128
Mailing address
1415 LEYTE RD APT C, CORONADO, CA 92118-3180
(619) 710-9128
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/27/2013
Last updated
04/27/2013
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