Individual
LOIS ELIZABETH MOREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
511 THAIN RD, LEWISTON, ID 83501-5530
(208) 413-5403
Mailing address
3217 9TH ST, LEWISTON, ID 83501-4809
(208) 503-2731
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5067
ID
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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