Individual
DR. SUSAN SCHMIDT-LACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 MOTOR AVE, LOS ANGELES, CA 90034-3710
(310) 836-1223
(310) 204-4134
Mailing address
1239 S CAMDEN DR, LOS ANGELES, CA 90035-1111
(310) 836-1223
(310) 204-4134
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G48290
CA
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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