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NPI Code Detail

MEDICARE: MAUREEN ELIZABETH DANE LANKTREE LMFT

MEDICARE:   MAUREEN ELIZABETH DANE LANKTREE  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist38157CA

General Provider Information

NPI Number : 1699808774
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN ELIZABETH DANE LANKTREE LMFT
Provider Business Mailing Address
First Line : 12099 W WASHINGTON BLVD
Second Line : SUITE 200
City : LOS ANGELES
State : CA
Zip : 90066-5882
Country : US
Telephone Number : 310-751-1171
Fax Number :
Provider Business Practice Location Address
First Line : 12099 W WASHINGTON BLVD
Second Line : SUITE 200
City : LOS ANGELES
State : CA
Zip : 90066-5882
Country : US
Telephone Number : 310-751-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 03/23/2016

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Directions to “ MAUREEN ELIZABETH DANE LANKTREE LMFT” Practice Location

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