Individual
MRS. LACIE LEANN FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5107 MONROE ST, TOLEDO, OH 43623-3429
(419) 913-9390
Mailing address
6048 GRAYSTONE DR, SYLVANIA, OH 43560-1158
(419) 913-9390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.019939
OH
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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