Larissa Lucas's National Provider Identifier (NPI) Details
Larissa Lucas,
NPI: 1942642343
Enumeration Date: 2013-07-25
Last updated: 2018-03-17
Sole Proprietor: NO
Status: active
Postal Address: 210 S DE LACEY AVE STE 110, PASADENA, CA
Phone: 626-395-7100
Primary Practice Address: 25556 FOXGLOVE LN, CORONA, CA
Practice's phone: 951-295-5537