Individual
MARLENE LANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3016 LAKE WASHINGTON RD, MELBOURNE, FL 32934-7613
(321) 254-7999
Mailing address
3016 LAKE WASHINGTON RD, MELBOURNE, FL 32934-7613
(321) 254-7999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA19481
FL
Other
Enumeration date
04/14/2009
Last updated
04/16/2009
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