Individual
LARA LAINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1456 S SEMORAN BLVD, ORLANDO, FL 32807-2918
(407) 380-5050
(407) 380-3806
Mailing address
5208 LAKE MARGARET DR APT 1301, ORLANDO, FL 32812-6144
(407) 883-4423
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 42327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA 42327
STATE LICENSE
FL
Enumeration date
02/27/2007
Last updated
07/08/2007
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