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Individual

DARLENE M LAWLESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3395 MISTY CREEK DR, ERLANGER, KY 41018-2624
(859) 240-1429
Mailing address
3395 MISTY CREEK DR, ERLANGER, KY 41018-2624
(859) 240-1429

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY1164
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KY-1164
MASSAGE THERAPIST
KY
Enumeration date
11/04/2010
Last updated
11/05/2010
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