Lauren Black

NPI #1427464544 in Elmhurst, Illinois

Provider Information

NPI Number: 1427464544
Entity Type: Individual
Name: Lauren Black
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 9, 2014
Last Updated: Jul 9, 2014

Practice Location

Address: 197 S MONTEREY AVE
City: Elmhurst
State: Illinois
ZIP Code: 60126-3006
Phone: (630) 453-1136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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