Search › California › 171100000X
Lacey Dupre, MSTOM
NPI 1992233399 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4115 Texas St
San Diego, CA 92104 - Phone
- (337) 298-3852
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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