Individual
LISA LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 3RD AVE, PHOENIXVILLE, PA 19460-3805
(610) 324-2031
Mailing address
730 MAIN ST, APT C2, PHOENIXVILLE, PA 19460-3850
(610) 324-2031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG007773
PA
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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