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General NPI Number Information
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NPI Number | 1609749035
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Entity Type | Individual
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Provider Name | LISA M WRIGHT AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 12440 FIRESTONE BLVD SUITE 3001 SUITE 300/3030
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City | NORWALK
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State | CA
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Zip | 90650-4328
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Country | US
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Telephone | 714-612-5670
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Fax |
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Provider Business Mailing Address
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Address Line | 12513 GRADWELL ST
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City | LAKEWOOD
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State | CA
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Zip | 90715-2315
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Country | US
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Telephone | 714-612-5670
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 154663
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License Number State | CA
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