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Individual

LEZLIE DAVID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
201 W SWITZLER ST, STE. #1, CENTRALIA, MO 65240-1035
(573) 682-5864
Mailing address
201 W SWITZLER ST, STE. #1, CENTRALIA, MO 65240-1035
(573) 682-5864

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2006029934
MO
225700000X
Massage Therapist
MA68434
FL

Other

Enumeration date
05/21/2015
Last updated
05/21/2015
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