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1982976163
LARA K. PANISH
STANFORD, CA
NPI
1982976163
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Former Name
LARA K. BRUSIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA psy20247)
Enumeration Date
2012-02-02
Last Update Date
2012-02-02
Business Address
Dr. LARA K. PANISH Psy.D.
866 CAMPUS DR
STANFORD, CA 94305-8508
Phone number: 650-723-3785
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Mailing Address
Dr. LARA K. PANISH Psy.D.
PO BOX 517
LOS GATOS, CA 95031-0517
Phone number: 408-656-6991
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