Lisa L Larsen L.M.T.

NPI 1134423114 - Massage Therapist - 225700000X

NPI Details
NPI 1134423114
Gender Female
Enumeration Date 01/05/2011
Last Updated 01/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2709 WYOMING BLVD NE
ALBUQUERQUE NM, 87111-4540, US
Phone (505) 294-5486
Fax
Business Location
2403 SAN MATEO BLVD NE
W-16
ALBUQUERQUE NM, 87110-4058, US
Phone (505) 363-6718
Fax
Toxanomy
Taxonomy Code 225700000X
License State New Mexico
License Number 4655
Remove 1134423114 NPI Number
 

According to our database, Ms. Lisa L Larsen L.M.T. NPI is 1134423114, taxonomy code is 225700000X and license number is 4655, license state is located at New Mexico. Lisa L Larsen L.M.T. physically located at 2709 Wyoming Blvd Ne, Albuquerque NM, 87111-4540. NPI Number Lisa L Larsen L.M.T. has the Individual type.

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1134423114 NPI number is provided on an as is basis without warranty of any kind. 1134423114 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa L Larsen L.M.T. are for informational purposes only.