Healthcare Provider Details

I. General information

NPI: 1184915456
Provider Name (Legal Business Name): NATALIA LAZCANO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALIA AKERS

II. Dates (important events)

Enumeration Date: 04/21/2011
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 BALBOA BLVD STE 242
NORTHRIDGE CA
91325-3593
US

IV. Provider business mailing address

5316 TRAIL LAKE DR
FORT WORTH TX
76133-1931
US

V. Phone/Fax

Practice location:
  • Phone: 818-894-2273
  • Fax: 818-357-2505
Mailing address:
  • Phone: 817-292-8787
  • Fax: 817-789-6489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number305025
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: