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Individual
LISA MARIE LUNDE
Active
Individual
LISA MARIE LUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P., C.N.T.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00012604
LICENCED MASSAGE PRACTICI
WA
Enumeration date
04/24/2007
Last updated
07/08/2007
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