Lauren Rene Shockley, LMP

NPI #1386956993 in Granite Falls, Washington

Provider Information

NPI Number: 1386956993
Entity Type: Individual
Name: Lauren Rene Shockley, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jul 12, 2010
Last Updated: Jul 12, 2010

Practice Location

Address: 8411 STATE ROUTE 92
Address 2: SUITE #8
City: Granite Falls
State: Washington
ZIP Code: 98252-8771
Phone: (425) 359-3433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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