Individual
EILEEN A. LORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
720 EAST AVE, SUITE 102, ROCHESTER, NY 14607-2192
(585) 442-1580
Mailing address
1885 DUBLIN RD, PENFIELD, NY 14526-1930
(585) 377-0680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013095-1
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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