South, Lara Lynn

South, Lara Lynn is an sole proprietor health care provider with primary practice located at 3553 Atlantic Ave Ste B 1154, Long Beach CA 90807-5607. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. South, Lara Lynn can be contacted via phone (424) 470-7768.

Contact Information

Primary practice address
3553 Atlantic Ave Ste B 1154 Long Beach CA 90807-5607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 022307 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31523 California

Profile Details

NPI number 1851652655
LBN Legal business name South, Lara Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2012
Last updated Jan 5th, 2026 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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