Individual
MS. CATHERINE LOUISE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 ROY ST, N MASSAPEQUA, NY 11758-1630
(516) 509-2363
Mailing address
109 ROY ST, N MASSAPEQUA, NY 11758-1630
(516) 249-2136
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27 020862
NY
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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