Laurie Ann Lake, LMT

NPI #1881980035 in Longview, Texas

Provider Information

NPI Number
1881980035
Entity Type
Individual
Name
Laurie Ann Lake, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jun 27, 2011
Last Updated
Jun 27, 2011

Practice Location

Address
1600 SPRINGDALE ST
State
Texas
ZIP Code
75604-2635
Phone
(903) 757-5364

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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