Individual
MRS. LORI JEANNE KUCZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3020 SOUTH FLORIDA AV, LAKELAND, FL 33803
(863) 616-9800
Mailing address
3440 SUMMERWOOD WAY, LAKELAND, FL 33812-5019
(863) 398-8870
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA24415
LICENSED MASSAGE THERAPIST
FL
Enumeration date
03/05/2010
Last updated
03/05/2010
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