Individual
CHRISTINA LYNN LASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
Mailing address
13184 ALLISON RANCH RD, GRASS VALLEY, CA 95949-9607
(530) 273-8480
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A68111
CA
Other
Enumeration date
12/01/2005
Last updated
05/16/2021
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