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Lanae C Lacourse, LMT

Massage Therapist in Lake Oswego, OR. Individual provider (NPI-1).

NPI number1699116830
StatusActive
Last updated in NPPESJul 16, 2013

Details

NPI
1699116830
Entity type
Individual (NPI-1)
Name
Lanae C Lacourse
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2013
Last updated
Jul 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist3844ORYes

Practice location

3990 Collins Way
201
Lake Oswego, OR 97035-3480

Phone 503-635-1236

Mailing address

3990 Collins Way
201
Lake Oswego, OR 97035-3480

Phone 503-635-1236

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