Individual
MR. GERALD FRANCIS LACKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
501 S BEACH BLVD, ANAHEIM, CA 92804-1810
(714) 816-0540
Mailing address
141 W WILSHIRE AVE APT 311, FULLERTON, CA 92832-1840
(512) 619-0184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9350
CA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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