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Individual

MS. LORA J FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
187 HIDDEN CV, JANE LEW, WV 26378-7712
(304) 838-1153
Mailing address
187 HIDDEN CV, JANE LEW, WV 26378-7712
(304) 838-1153

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1999-0259
WV

Other

Enumeration date
05/29/2008
Last updated
03/05/2012
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