MRS. Tara Sophia Lawless, LMT

NPI #1033424031 in Syosset, New York

Provider Information

NPI Number: 1033424031
Entity Type: Individual
Name: MRS. Tara Sophia Lawless, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 13, 2010
Last Updated: Aug 13, 2010

Practice Location

Address: 6500 JERICHO TPKE
City: Syosset
State: New York
ZIP Code: 11791-4489
Phone: (516) 931-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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