Individual
DANIEL MYRON LAPEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7290
(920) 449-7291
Mailing address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7290
(920) 449-7291
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5058-146
WI
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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