Individual
LACEE ROSENBORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
(772) 299-7868
Mailing address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
(772) 299-7868
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 40780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063571982
NPI
FL
01
—
RT7
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
02/05/2008
Last updated
02/05/2008
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