Individual
DENISE MARIE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13317 NE 12TH AVE STE 115A, VANCOUVER, WA 98685-2731
(360) 726-6095
Mailing address
11509 NE SYLVAN TER, VANCOUVER, WA 98686-4132
(831) 601-9628
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61052874
WA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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