Individual
LUCRETIA B HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT LA 3780
Contact information
Practice address
8211 SUMMA AVE STE G, BATON ROUGE, LA 70809-3471
(225) 267-7586
Mailing address
4155 ESSEN LN APT 226, BATON ROUGE, LA 70809-2152
(318) 573-5500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3780
LA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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