Deloris Ann Lizotte

NPI 1629263728 - Massage Therapist - 225700000X

NPI Details
NPI 1629263728
Gender Female
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
516 MORRIS STREET
LACONNER WA, 98257, US
Phone (360) 446-4050
Fax
Business Location
15683 FIELD RD
BOW WA, 98232-9150, US
Phone (360) 766-6444
Fax (360) 766-4205
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00011791
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According to our database, Deloris Ann Lizotte NPI is 1629263728, taxonomy code is 225700000X and license number is MA00011791, license state is located at Washington. Deloris Ann Lizotte physically located at 516 Morris Street, Laconner WA, 98257. NPI Number Deloris Ann Lizotte has the Individual type.

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1629263728 NPI number is provided on an as is basis without warranty of any kind. 1629263728 is maintained by the National Plan & Provider Enumeration System. The contents of Deloris Ann Lizotte are for informational purposes only.