Individual
TARA LUCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
133 E 58TH ST STE 809, NEW YORK, NY 10022-1128
(646) 872-2865
Mailing address
330 E 119TH ST APT 4C, NEW YORK, NY 10035-4287
(646) 872-2865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020539-1
NY
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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