Individual provider · Type 1 NPI

Marianne M. Lacoste, MA, ADTR

Student in an Organized Health Care Education/Training Program · Gardena, CA

NPI number 1114057627 Active

Practice location

130 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1114057627

Marianne M. Lacoste, MA, ADTR's National Provider Identifier is 1114057627, issued on Mar 6, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gardena, CA. The record was last updated on Apr 12, 2011.