Individual
LORI MIKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMY
Contact information
Practice address
12 MILL PLAIN RD STE 8, DANBURY, CT 06811-5135
(203) 364-6826
Mailing address
12 MILL PLAIN RD STE 8, DANBURY, CT 06811-5135
(203) 364-6826
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
009380
CT
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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