Provider Demographics
NPI:1003089434
Name:HARMER, LECIA ERIN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:LECIA
Middle Name:ERIN
Last Name:HARMER
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16542 VENTURA BLVD
Mailing Address - Street 2:SUITE 506
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6345 BALBOA BLVD STE 314
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1500
Practice Address - Country:US
Practice Address - Phone:818-943-8228
Practice Address - Fax:509-271-7372
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA569051223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry