Lisa Rakusin's National Provider Identifier (NPI) Details
Lisa Rakusin,
NPI: 1891920716
Enumeration Date: 2009-05-21
Last updated: 2009-05-21
Sole Proprietor: NO
Status: active
Postal Address: 704 W 8TH ST, SAN PEDRO, CA
Phone: 310-832-7545
Primary Practice Address: 3342 WIMBLETON DR, ROSSMOOR, CA
Practice's phone: 562-754-3331