Provider Demographics
NPI:1326348764
Name:IRIBARNE-LAZCANO, JOSETTE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOSETTE
Middle Name:ANN
Last Name:IRIBARNE-LAZCANO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 NORTH FORK TRAIL
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-0782
Mailing Address - Country:US
Mailing Address - Phone:775-750-1272
Mailing Address - Fax:
Practice Address - Street 1:1650 LUCERNE ST STE 205
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4312
Practice Address - Country:US
Practice Address - Phone:775-391-0354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0921103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical