Individual
MRS. LISA R. COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
12440 IMPERIAL HWY, SUITE 116, NORWALK, CA 90650-3177
(562) 651-5035
Mailing address
12440 E. IMPERIAL HWY, SUITE 116, NORWALK, CA 90650
(562) 651-5035
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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