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Search › California › 235Z00000X

Lucie Wanberg

NPI 1235680059 · on the registry since 2016

Practice

Address
801 Empire St
Fairfield, CA 94533
Phone
(707) 425-5744
Fax
(707) 425-5162
Organisation at this address
Child Haven Inc
Child Haven, Inc.
Victor Community Support Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
101Y00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California