Individual
LYNDON SMITH II
Active
Individual
LYNDON SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA66976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13950338
CAQH NUMBER
FL
01
—
45-4029726
LUXURY QUALITY TYME INC
FL
01
—
623618300
WORKER'S COMP NUMBER
FL
Enumeration date
12/11/2016
Last updated
03/18/2017
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