MRS. La-Wan Antonette Green, LMT

NPI #1396920286 in Lancaster, Texas

Provider Information

NPI Number: 1396920286
Entity Type: Individual
Name: MRS. La-Wan Antonette Green, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 9, 2008
Last Updated: Jan 9, 2008

Practice Location

Address: 2931 E PEPPERIDGE DR
City: Lancaster
State: Texas
ZIP Code: 75134-2034
Phone: (972) 227-0180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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