Individual
LARRENA LEWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,LPN
Contact information
Practice address
309 W BROOKE AVE APT B12, MAGNOLIA, NJ 08049-1145
(856) 761-7274
Mailing address
309 W BROOKE AVE APT B12, MAGNOLIA, NJ 08049-1145
(856) 761-7274
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004846
PA
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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