Individual
MRS. LISA MARIE ADRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5631 W GENESEE ST, CAMILLUS, NY 13031-1324
(315) 440-7910
(315) 252-7042
Mailing address
5631 W GENESEE ST, CAMILLUS, NY 13031-1324
(315) 440-7910
(315) 252-7042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
012163-1
NY
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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