Individual
LORELEI VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
810 LEXINGTON AVE, FORT SMITH, AR 72901-4942
(479) 650-4304
Mailing address
PO BOX 181391, FORT SMITH, AR 72918-1391
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6578
AR
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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