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Lisa Fanning, LMP Valid NPI

Individual provider · Massage Therapist · Lynnwood, WA

NPI
1831241074
Type
Individual (Type 1)
Primary specialty
Massage Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225700000X
License number
MA6551 (WA)
Sex
Female
Sole proprietor
Yes
Enumerated
2007-01-17
Last updated
2007-07-08
Practice location
6101 200th St Sw, #206
Lynnwood, WA 98036-6077
(425) 774-6402

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