Anthony Frank Lodolce RAS

NPI 1023172038 - Counselor - 101YA0400X

NPI Details
NPI 1023172038
Gender Male
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
991 PARALLEL DR STE B
LAKEPORT CA, 95453-5717, US
Phone (707) 263-8162
Fax
Business Location
PMB-104-881-11ST
LAKEPORT CA, 95453, US
Phone (707) 327-9365
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number D0509300804
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According to our database, Anthony Frank Lodolce RAS NPI is 1023172038, taxonomy code is 101YA0400X and license number is D0509300804, license state is located at California. Anthony Frank Lodolce RAS physically located at 991 Parallel Dr Ste B, Lakeport CA, 95453-5717. NPI Number Anthony Frank Lodolce RAS has the Individual type.

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1023172038 NPI number is provided on an as is basis without warranty of any kind. 1023172038 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Frank Lodolce RAS are for informational purposes only.