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Individual

ADAM LAZCANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2423 HOOVER AVE, NATIONAL CITY, CA 91950-6619
(619) 795-9925
Mailing address
1820 4TH AVE APT 10, SAN DIEGO, CA 92101-2625

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
10/04/2025
Last updated
10/04/2025
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