Individual
LORI GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8302 INDIANA AVE, SUITE 9, LUBBOCK, TX 79423-2835
(806) 722-1934
Mailing address
8302 INDIANA AVE, SUITE 9, LUBBOCK, TX 79423-2835
(806) 722-1934
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT014241
TX
Other
Enumeration date
10/05/2008
Last updated
10/05/2008
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