Individual
LANCE EARL DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1166 W 7TH AVE, EUGENE, OR 97402-4616
(541) 520-7721
Mailing address
845 PARK AVE, EUGENE, OR 97404-6501
(541) 520-7721
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10245
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10245
OREGON BOARD OF MASSAGE THERAPY
OR
Enumeration date
11/26/2018
Last updated
11/26/2018
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