Individual
LOLY B LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1017 SW MORRISON ST, SUITE 406, PORTLAND, OR 97205-2635
(503) 799-8000
Mailing address
1017 SW MORRISON ST, SUITE 406, PORTLAND, OR 97205-2635
(503) 799-8000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10261
OR
Other
Enumeration date
07/20/2007
Last updated
04/22/2013
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