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Individual

LYNN MARIE PAVENTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMBT NC#17631 SC#116

Contact information

Practice address
11031 MIDDLE ACRES RD, CHARLOTTE, NC 28213-3738
(704) 293-2004
Mailing address
11031 MIDDLE ACRES RD, CHARLOTTE, NC 28213-3738
(704) 293-2004

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
11600
SC
225700000X
Massage Therapist
Primary
17631
NC

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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