Individual
LAUREN LEADBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
345 DICK RD, DEPEW, NY 14043-1800
(716) 681-3333
Mailing address
255 CAZENOVIA ST APT 6, EAST AURORA, NY 14052-2238
(716) 289-1120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 022219
NY
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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