Rakusin, Lisa L

Rakusin, Lisa L is an individual health care provider with primary practice located at 704 W 8Th St , San Pedro CA 90731-3017. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rakusin, Lisa L can be contacted via phone (310) 832-7545.

Contact Information

Primary practice address
704 W 8Th St San Pedro CA 90731-3017
Phone: (310) 832-7545
Fax: (310) 833-8580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891920716
LBN Legal business name Rakusin, Lisa L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2009
Last updated May 21st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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