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1912686791
LISA LAC
SANTA MARIA, CA
NPI
1912686791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
LISA LAC
1075 E BETTERAVIA RD
SANTA MARIA, CA 93454-7023
Phone number: 805-621-7651
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Mailing Address
LISA LAC
1075 E BETTERAVIA RD
SANTA MARIA, CA 93454-7023
Phone number: 805-621-7651
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