Individual
JOHN KENNETH LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2045 ASHER CT, EAST LANSING, MI 48823-8444
(517) 526-4967
Mailing address
890 MARSHALL ST, PORTLAND, MI 48875-1374
(517) 526-4967
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501002159
MI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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