ROBERTO FABIAN LAZCANO

OAKLAND, CA
NPI1902002785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  21177)
Enumeration Date2007-06-27
Last Update Date2007-07-08
Business Address
-- ROBERTO FABIAN LAZCANO Ph.D.
3301 E 12TH ST SUITE 259
OAKLAND, CA 94601-3424
Phone number: 510-269-9084
Mailing Address
-- ROBERTO FABIAN LAZCANO Ph.D.
2094 DONALD DR
MORAGA, CA 94556-1402
Phone number: 510-612-4659