Individual
KAREN LYNN LASHURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 WICKER AVE STE 5, SAINT JOHN, IN 46373-8408
(219) 796-0975
Mailing address
14434 WHEELER ST, CEDAR LAKE, IN 46303-9623
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21404987
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT21404987
PLA
IN
Enumeration date
06/23/2020
Last updated
06/23/2020
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