Lisamarie Boncek, LMT
NPI #1265144158 in East Haven, Connecticut
Provider Information
- NPI Number
- 1265144158
- Entity Type
- Individual
- Name
- Lisamarie Boncek, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Dec 22, 2022
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 75 REDWOOD DR UNIT 904
- City
- East Haven
- State
- Connecticut
- ZIP Code
- 06513-1976
- Phone
- (203) 530-9909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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