Individual
LACY DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4001 NE 130TH ST, VANCOUVER, WA 98686-2670
(503) 333-9294
Mailing address
4001 NE 130TH ST, VANCOUVER, WA 98686-2670
(503) 333-9294
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH.61477396
WA
225700000X
Massage Therapist
23030
OR
Other
Enumeration date
08/09/2019
Last updated
10/04/2023
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