Individual
LUCIE ANNE HAISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
3737 MARTIN LUTHER KING JR BLVD STE 604, LYNWOOD, CA 90262-3518
(562) 333-3700
Mailing address
3737 MARTIN LUTHER KING JR BLVD STE 604, LYNWOOD, CA 90262-3518
(562) 333-3700
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
30172
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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