person
Mr. Dalance Ravonce Lakes
Rehabilitation Practitioner in Los Angeles, California
NPI 1275606733

Dalance Ravonce Lakes is a Rehabilitation Practitioner based in Los Angeles, CA. Dalance Ravonce Lakes practices in Los Angeles, CA. The NPI Number for Dalance Ravonce Lakes is 1275606733 and holds a License No. (California).

The current practice location address for Dalance Ravonce Lakes is 1224 Vine St, Los Angeles, CA and can be reached out via phone at 323-769-6100.

Location: 1224 Vine St, Los Angeles, CA, 90038-1612
person
Provider Profile Details
NPI Number
1275606733
Provider Name
Dalance Ravonce Lakes
Credential
Provider Entity Type
Individual
Gender
Male
Address
1224 Vine St, Los Angeles, CA, 90038-1612
Phone Number
323-769-6100
Fax Number
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1224 Vine St
City
State
Zip
90038-1612
Phone Number
323-769-6100
Fax Number
person
Provider Business Mailing Address Details
Address
1224 Vine St
City
State
Zip
90038-1612
Phone Number
323-769-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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