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Individual
LEO DILORENZO
Active
Individual
LEO DILORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00019707
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073674388
GROUP NPI NUMBER
WA
01
—
162840
GROUP L&I NUMBER
WA
01
—
194287
INDIVIDUAL L&I NUMBER
WA
Enumeration date
03/06/2007
Last updated
07/08/2007
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