Individual
MR. LAURENCE LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
26 CLARK ST, ST AUGUSTINE, FL 32084-4158
(904) 826-1965
(904) 826-1040
Mailing address
PO BOX 4578, ST AUGUSTINE, FL 32085-4578
(904) 826-1965
(904) 826-1040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA10746
FL
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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