Individual
MS. LISA DIANE HAYGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
623 COUNTY ROAD 61, FLORENCE, AL 35634-2562
(256) 762-5374
Mailing address
623 COUNTY ROAD 61, FLORENCE, AL 35634
(256) 762-5374
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1803
AL
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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