Individual
MR. LONNIE GENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, BS
Contact information
Practice address
640 HERMAN AVE, MEDFORD, OR 97501-1123
(541) 281-9909
Mailing address
640 HERMAN AVE, MEDFORD, OR 97501-1123
(541) 281-9909
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20854
OR
Other
Enumeration date
07/08/2017
Last updated
01/04/2026
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