Individual
JACQUELINE ITZEL LAZCANO LOBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 WAINWRIGHT DR BLDG 145, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
3309 WALLACE ST, RIVERSIDE, CA 92509-4660
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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