Individual
BREANNA RENEE LAZENBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6515 132ND AVE NE, KIRKLAND, WA 98033-8628
(425) 822-4326
(425) 827-3572
Mailing address
6515 132ND AVE NE, KIRKLAND, WA 98033-8628
(425) 822-4326
(425) 827-3572
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60258449
WA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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