John David Lance, LMT

NPI #1033887971 in Central Islip, New York

Provider Information

NPI Number: 1033887971
Entity Type: Individual
Name: John David Lance, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 4, 2021
Last Updated: Sep 4, 2021

Practice Location

Address: 43 NORTHWOOD BLVD
City: Central Islip
State: New York
ZIP Code: 11722-4695
Phone: (314) 070-5516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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