MISS Lydia Shawn Smith, B.A., L.M.T.

NPI #1013191196 in Mt. Dora, Florida

Provider Information

NPI Number
1013191196
Entity Type
Individual
Name
MISS Lydia Shawn Smith, B.A., L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
B.A., L.M.T.
Enumeration Date
Dec 24, 2007
Last Updated
Dec 24, 2007

Practice Location

Address
411 N. DONNELLY STREET SUITE 311
Address 2
BENEFICIAL MASSAGE
State
Florida
ZIP Code
32757-5596
Phone
(352) 383-8007

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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