Individual
LAKEISHA CRAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13755 RIVER RD STE C, LULING, LA 70070-4377
(504) 571-9990
Mailing address
PO BOX 107, AMA, LA 70031-0107
(504) 571-9990
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA-8227
LA
225700000X
Massage Therapist
LA8227
LA
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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