Individual
MR. LONNY JAY MORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., L.M.T.
Contact information
Practice address
388 N CENTRAL BLVD, COQUILLE, OR 97423-1244
(541) 396-4772
Mailing address
57978 SKIDDER RD, COQUILLE, OR 97423-6716
(541) 396-4772
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5742
OR
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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