Search › California › 103TC0700X
Lisa Hazelwood, PH.D
NPI 1801196027 · on the registry since 2010
Practice
- Address
- 9500 Etiwanda Ave., West Valley Detention Center
Attn: Medical Srvcs/Liberty Roc
Rancho Cucamonga, CA 91739 - Phone
- (909) 463-5115
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-28
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