Individual
MRS. CARMEN LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT #5031
Contact information
Practice address
2325 HANOVER DR, MONROE, NC 28110-0450
(704) 282-4758
Mailing address
4514 CAPSTONE DR, MONROE, NC 28110-7673
(704) 221-5872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5031
NC
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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