MS. Lisa Kathryn Debrauwere, LMT

NPI #1164636700 in Marianna, Florida

Provider Information

NPI Number: 1164636700
Entity Type: Individual
Name: MS. Lisa Kathryn Debrauwere, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4230 LAFAYETTE ST STE C
Address 2: MASSAGE ROOM
City: Marianna
State: Florida
ZIP Code: 32446-8231
Phone: (850) 482-2051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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