Lisa Kathryn Debrauwere LMT

NPI 1164636700 - Specialist - 174400000X

NPI Details
NPI 1164636700
Gender Female
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4230 LAFAYETTE ST STE C
MASSAGE ROOM
MARIANNA FL, 32446-8231, US
Phone (850) 482-2051
Fax
Business Location
2584 GOVERNORS CT
MARIANNA FL, 32446-6399, US
Phone (850) 526-3349
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number MA49208
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According to our database, Ms. Lisa Kathryn Debrauwere LMT NPI is 1164636700, taxonomy code is 174400000X and license number is MA49208, license state is located at Florida. Lisa Kathryn Debrauwere LMT physically located at 4230 Lafayette St Ste C, Marianna FL, 32446-8231. NPI Number Lisa Kathryn Debrauwere LMT has the Individual type.

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1164636700 NPI number is provided on an as is basis without warranty of any kind. 1164636700 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Kathryn Debrauwere LMT are for informational purposes only.