Individual
MS. LISA KRISHNA LUCERO-KRIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3020 CHILDRENS WAY # MC5068, SAN DIEGO, CA 92123-4223
(323) 868-0876
Mailing address
3325 UPAS ST, SAN DIEGO, CA 92104-4328
(323) 868-0876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3667
CA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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