Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 56905 | CA |
NPI | 1003089434 |
---|---|
Provider Name | Dr. Lecia Erin Harmer |
First Address | Encino, CA 91436 |
Second Address | Encino, CA 91316-1500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 26/09/2017 |