Doctor Name: | DR. MARIA THERESA GUILLERMO FERRER-LACSON |
NPI Number: | 1427253590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A99708 |
Business Practice Address: | 372 W Cypress Ave Reedley, CA - 936542113 |
Business Phone Number: | 5596388155 |
Business Fax Number: | 5596377555 |
Mailing Address: | 195 N Coventry Ave, Apt. 221 CLOVIS |
State: | CA |
Postal Code: | 936116862 |
Phone Number: | 7185512563 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | A99708 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |