Individual
MR. DOREL LACATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
250 N FIRST ST, UNIT 402, BURBANK, CA 91502-1826
(818) 235-7273
Mailing address
250 N FIRST ST, UNIT 402, BURBANK, CA 91502-1826
(818) 235-7273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
61114
CA
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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