Individual
LAURA LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LMT
Contact information
Practice address
215 S POWER RD, MESA, AZ 85206-5235
(602) 821-5008
Mailing address
508 N MERRILL RD, MESA, AZ 85207-2423
(602) 821-5008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20953
AZ
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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