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Individual

LORRAINE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
413 SW CALIFORNIA AVE, STUART, FL 34994-2917
(772) 233-9933
Mailing address
413 SW CALIFORNIA AVE, STUART, FL 34994-2917
(772) 233-9933

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA11976
FL

Other

Enumeration date
01/16/2009
Last updated
01/16/2009
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