Individual
THEA MONIQUE LAHLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7040 LAKELAND AVE N, SUITE 204, BROOKLYN PARK, MN 55428-5600
(651) 270-8939
Mailing address
7573 IDAHO AVE N, BROOKLYN PARK, MN 55428-1306
(651) 270-8939
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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