Gina Marcelle Lawrence, L.M.T.

NPI #1174735542 in Bend, Oregon

Provider Information

NPI Number: 1174735542
Entity Type: Individual
Name: Gina Marcelle Lawrence, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L.M.T.
Enumeration Date: May 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 62968 O B RILEY RD BLDG E2
City: Bend
State: Oregon
ZIP Code: 97701-9442
Phone: (541) 815-5227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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