Individual
LAZARO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2104 N HIMES AVE, TAMPA, FL 33607-3129
(813) 368-1078
Mailing address
2104 N HIMES AVE, TAMPA, FL 33607-3129
(813) 368-1078
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 49281
FL
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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