Individual
LAUREN WITMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
86 MEDFORD AVE, SUITE A, PATCHOGUE, NY 11772-1233
(631) 877-0881
Mailing address
56 MARILYNN ST, EAST ISLIP, NY 11730-2703
(631) 877-0881
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
386376043
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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