Individual
LORI L MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3192 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2239
(928) 288-0500
Mailing address
5266 AUTUMN LEAF LN, PRESCOTT, AZ 86301-8139
(928) 460-9215
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-22067
AZ
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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