Individual
LORRAINE KAREN MOOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS HWY STE 33, HAUPPAUGE, NY 11788-3046
(631) 882-2517
Mailing address
7 DEEPDALE DR, ROCKY POINT, NY 11778-9020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006728
NY
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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