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Lacie Phan
NPI 1194262386 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4512 Actriz Pl
Martinez, CA 94553 - Phone
- (909) 244-7891
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California