| Doctor Name: | MS. LORI NETZEN |
| NPI Number: | 1245277342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CMF |
| License Number: | C22236 |
| Business Practice Address: | 1320 N Highland Ave Hollywood, CA - 900287609 |
| Business Phone Number: | 3234694299 |
| Business Fax Number: | 3234602035 |
| Mailing Address: | 16060 Ventura Blvd., Suite 105-194 ENCINO |
| State: | CA |
| Postal Code: | 914362761 |
| Phone Number: | 8184815860 |
| Fax Number: | 8187286704 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 01/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | C22236 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |