Lawanna Gage

NPI #1083211742 in Midwest City, Oklahoma

Provider Information

NPI Number: 1083211742
Entity Type: Individual
Name: Lawanna Gage
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 6, 2020
Last Updated: Oct 6, 2020

Practice Location

Address: 7901 NE 10TH ST STE A209
City: Midwest City
State: Oklahoma
ZIP Code: 73110-3689
Phone: (405) 496-2499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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