Individual
JULIA ANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1815 AVENUE E, COUNCIL BLUFFS, IA 51501-2455
(712) 326-6002
Mailing address
1815 AVENUE E, COUNCIL BLUFFS, IA 51501-2455
(712) 256-6002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
076233
IA
225700000X
Massage Therapist
2760
NE
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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