Laurie Lanza, MA

NPI #1104216613 in Ridgefield, Washington

Provider Information

NPI Number: 1104216613
Entity Type: Individual
Name: Laurie Lanza, MA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MA
Enumeration Date: Feb 4, 2015
Last Updated: Feb 4, 2015

Practice Location

Address: 414 PIONEER ST STE 101
City: Ridgefield
State: Washington
ZIP Code: 98642-4512
Phone: (360) 600-4825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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