Petrita Mellie Lubin, LMT

NPI #1861970667 in Eagle River, Alaska

Provider Information

NPI Number: 1861970667
Entity Type: Individual
Name: Petrita Mellie Lubin, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 2, 2018
Last Updated: Aug 2, 2018

Practice Location

Address: 12812 OLD GLENN HWY
City: Eagle River
State: Alaska
ZIP Code: 99577-7002
Phone: (907) 696-8020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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