Lisa Marie Douglas, LMT 4600
NPI #1770921447 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1770921447
- Entity Type
- Individual
- Name
- Lisa Marie Douglas, LMT 4600
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- LMT 4600
- Enumeration Date
- Jun 4, 2013
- Last Updated
- Jun 4, 2013
Practice Location
- Address
- 1421 N WASHINGTON ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-2146
- Phone
- (501) 613-1888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Reflexologist |
| Specialist |
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