Individual
SARAH REN'EE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1304 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 651-7003
Mailing address
1304 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 651-7003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018033
CO
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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