Individual
MRS. LISA DAWN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 BROADWAY, LYNBROOK, NY 11563-3233
(516) 599-9355
(516) 593-0406
Mailing address
120 BROADWAY, LYNBROOK, NY 11563-3233
(516) 599-9355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023030-1
NY
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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