Provider Demographics
NPI:1427223296
Name:CURA, LODY PACULARIN (LMFT)
Entity type:Individual
Prefix:
First Name:LODY
Middle Name:PACULARIN
Last Name:CURA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:LODY
Other - Middle Name:CURA
Other - Last Name:LAGPACAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1429 PALM DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3733
Mailing Address - Country:US
Mailing Address - Phone:650-773-6105
Mailing Address - Fax:
Practice Address - Street 1:405 PRIMROSE RD
Practice Address - Street 2:STE 206
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4064
Practice Address - Country:US
Practice Address - Phone:650-773-6105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45551106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0001131400Medicare NSC