Individual
MS. LISA ANNE LUCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4144 56TH ST N, KENNETH CITY, FL 33709-5416
(323) 680-8497
Mailing address
4144 56TH ST N APT 811, KENNETH CITY, FL 33709-5447
(323) 680-8497
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
46743
CA
Other
Enumeration date
03/06/2007
Last updated
12/17/2024
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