Individual
LYNAE KIMBERLY MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 W HARVARD AVE, ROSEBURG, OR 97471-2717
(541) 673-8813
Mailing address
516 W MAPLE ST, ROSEBURG, OR 97471-2927
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29589
OR
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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