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Laurie Ann Lake, LMT
Massage Therapist in Longview, Texas
NPI 1881980035

Laurie Ann Lake is a Massage Therapist based in Longview, TX. Laurie Ann Lake practices in Longview, TX and has the professional credentials of LMT. The NPI Number for Laurie Ann Lake is 1881980035 and holds a License No. MT004607 (Texas).

The current practice location address for Laurie Ann Lake is 1600 Springdale St, Longview, TX and can be reached out via phone at 903-757-5364.

Location: 1600 Springdale St, Longview, TX, 75604-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881980035
Provider Name
Laurie Ann Lake
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1600 Springdale St, Longview, TX, 75604-2635
Phone Number
903-757-5364
Fax Number
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1600 Springdale St
City
Longview
State
Texas
Zip
75604-2635
Phone Number
903-757-5364
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Springdale St
City
Longview
State
Texas
Zip
75604-2635
Phone Number
903-757-5364
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT004607 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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