Individual
MS. LILY C BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #24477
Contact information
Practice address
1725 PEARL ST, EUGENE, OR 97401-4118
(541) 683-0886
Mailing address
451 W BROADWAY APT 14, EUGENE, OR 97401-2851
(616) 826-8305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24477
OR
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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