Individual
MS. LISA LORRAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69250 DINAH SHORE DR, CATHEDRAL CITY, CA 92234-4713
(760) 770-0125
Mailing address
69250 DINAH SHORE DR, CATHEDRAL CITY, CA 92234-4713
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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