Individual
LIANE MARIE LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
Mailing address
1502 SONATA DR, OXNARD, CA 93030-0106
(805) 479-2608
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
716904
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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