Individual
JAMES G LACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4425 N SUNFLOWER AVE, COVINA, CA 91724-2328
(626) 331-8637
Mailing address
4425 N SUNFLOWER AVE, COVINA, CA 91724-2328
(626) 331-8637
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT 68902
CA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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