Individual
MRS. LISA M KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1780 N PARK AVE, MAITLAND, FL 32751-6500
(407) 644-8553
(407) 644-3369
Mailing address
1780 N PARK AVE, MAITLAND, FL 32751-6500
(407) 644-8553
(407) 644-3369
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA030440
FL
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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