Individual
BECKY LYNN LUNDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4422 14TH WAY SE, LACEY, WA 98503-2615
(360) 413-5863
Mailing address
PO BOX 5498, LACEY, WA 98509-5498
(360) 413-5863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00007288
WA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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