Individual
LAUREN NEVZUROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(907) 729-4320
(907) 729-4102
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102014
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102014
MASSAGE THERAPIST LICENSE
AK
Enumeration date
11/15/2016
Last updated
11/15/2016
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