Individual
JOHNATHAN JAMES LAZNOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
920 LINCOLN AVE UNIT 11, HOLBROOK, NY 11741-2257
(631) 256-5184
Mailing address
920 LINCOLN AVE UNIT 11, HOLBROOK, NY 11741-2257
(631) 256-5184
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032030
NY
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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