Individual
MS. LISA LYNN BURTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
492 E 13TH AVE STE 208, EUGENE, OR 97401-4268
(541) 349-0202
(541) 719-4281
Mailing address
492 E 13TH AVE STE 208, EUGENE, OR 97401-4268
(541) 349-0202
(541) 719-4281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5004
OR
261Q00000X
Clinic/Center
5004
OR
Other
Enumeration date
11/24/2008
Last updated
04/19/2021
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