Individual
MR. THOMAS GREGORY LAWRENCE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-2520
(605) 399-2273
Mailing address
626 E MEADE ST, RAPID CITY, SD 57701-5724
(605) 939-8863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT12107
SD
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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