SIDNEY LAKUSTA-WONG

PHOENIX, AZ
NPI1346730751
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AZ  68487)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A163866)
Enumeration Date2018-05-11
Last Update Date2023-02-24
Business Address
SIDNEY LAKUSTA-WONG
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
SIDNEY LAKUSTA-WONG
2929 E THOMAS RD
PHOENIX, AZ 85016-8034
Phone number: 602-470-5000