Individual
LORI LYNN SOVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
535 GREENWOOD AVE SE, EAST GRAND RAPIDS, MI 49506-2901
(616) 635-1267
Mailing address
4134 BURLINGAME AVE SW, WYOMING, MI 49509-3725
(616) 302-3293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501003456
MI
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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