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Individual
REBECCA C LAVIN
Active
Individual
REBECCA C LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015720
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212515
DEPT. OF LABOR & INDUSTRY
WA
01
—
0232274
LABOR & INDUSTRIES
WA
01
—
2500LA
REGENCE BLUE SHIELD
WA
01
—
8942480
L&I CRIME VICTIMS
WA
Enumeration date
08/30/2006
Last updated
11/04/2019
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