Individual
LANIE IZABELLE LUMBAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1731 RALPHS WAY # 4, JUNEAU, AK 99801-7256
(907) 957-8188
Mailing address
2451 ODAY DR, JUNEAU, AK 99801-6901
(907) 957-8188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101395
AK
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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