Individual
NICOLE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11 EMERSON AVE, LEVITTOWN, NY 11756-5705
(516) 652-7336
Mailing address
35 W RAYMOND AVE, ROOSEVELT, NY 11575-1013
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
030131-1
NY
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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