Individual
LAUREN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, NTS, NASM-CPT
Contact information
Practice address
2501 SAN PEDRO DR NE STE 117, ALBUQUERQUE, NM 87110-4156
(505) 209-7203
Mailing address
1205 6TH ST NW, ALBUQUERQUE, NM 87102-1337
(505) 280-3213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8720
NM
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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