Individual
MISS LISA M PLASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6576 E QUAKER ST, ORCHARD PARK, NY 14127-2502
(716) 667-0855
(716) 667-7019
Mailing address
6576 E QUAKER ST, ORCHARD PARK, NY 14127-2502
(716) 667-0855
(716) 667-7019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016518
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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