Individual
TANYA LACROIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
144 US ROUTE 1, SCARBOROUGH, ME 04074-7219
(207) 885-9415
(207) 885-9419
Mailing address
35 LOWELL ST APT 6, PORTLAND, ME 04102-2771
(207) 408-7737
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4667
ME
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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