Individual
LISA MARIE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
153 LAKE VIEW CIR, BRUNSWICK, GA 31525-3059
(912) 717-0077
Mailing address
153 LAKE VIEW CIR, BRUNSWICK, GA 31525-3059
(912) 717-0077
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT004071
GA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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