Individual
LYDIA KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
5843 RAMSEY ST, SUITE J, FAYETTEVILLE, NC 28311-3467
(910) 818-2513
Mailing address
28 WILD IRIS CT, COLUMBIA, SC 29209-5734
(910) 733-5593
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12751
SC
225700000X
Massage Therapist
5590
NC
Other
Enumeration date
10/14/2015
Last updated
09/27/2023
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