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General NPI Number Information
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NPI Number | 1134158645
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Entity Type | Individual
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Provider Name | LISA SONIN LARSEN PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 3123 W AVENUE L8
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City | LANCASTER
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State | CA
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Zip | 93536-3407
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Country | US
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Telephone | 661-233-6771
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Fax | 661-941-4495
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Provider Business Mailing Address
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Address Line | 43706 SENTRY LN
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City | LANCASTER
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State | CA
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Zip | 93536-5864
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Country | US
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Telephone | 661-233-6771
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Fax | 661-206-9340
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY19046
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License Number State | CA
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