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Deanna Catherine Lack
Student in an Organized Health Care Education/Training Program in Escondido, California
NPI 1073204046

Deanna Catherine Lack is a Student in an Organized Health Care Education/Training Program based in Escondido, CA. Deanna Catherine Lack practices in Escondido, CA. The NPI Number for Deanna Catherine Lack is 1073204046 and holds a License No. (California).

The current practice location address for Deanna Catherine Lack is 474 W Vermont Ave Ste 101, Escondido, CA and can be reached out via phone at 760-480-2255.

Location: 474 W Vermont Ave Ste 101, Escondido, CA, 92025-6584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073204046
Provider Name
Deanna Catherine Lack
Credential
Provider Entity Type
Individual
Gender
Female
Address
474 W Vermont Ave Ste 101, Escondido, CA, 92025-6584
Phone Number
760-480-2255
Fax Number
Provider Enumeration Date
05/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
474 W Vermont Ave Ste 101
City
Escondido
State
California
Zip
92025-6584
Phone Number
760-480-2255
Fax Number
person
Provider Business Mailing Address Details
Address
474 W Vermont Ave Ste 101
City
Escondido
State
California
Zip
92025-6584
Phone Number
760-480-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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