Individual
SIOBHAN MEAGAN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
365 HARRY L DR, STE. C AND D, JOHNSON CITY, NY 13790-1471
(607) 644-2823
(607) 238-1556
Mailing address
365 HARRY L DR, STE. C AND D, JOHNSON CITY, NY 13790-1471
(607) 644-2823
(607) 238-1556
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022978-1
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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