Lawrence Edward Lewis, LMT
Massage Therapist in Silver Spring, MD. Individual provider (NPI-1).
NPI number1730845751
StatusActive
Last updated in NPPESNov 14, 2021
Details
- NPI
- 1730845751
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Edward Lewis
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2021
- Certification date
- Nov 14, 2021
- Last updated
- Nov 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | R02723 | MD | Yes |
| 225700000X | Massage Therapist | MT2273 | DC |
Practice location
8120 Fenton St Ste 301dSilver Spring, MD 20910-4796
Phone 240-543-2343
Mailing address
1915 Featherwood StSilver Spring, MD 20904-6644
Phone 240-543-2343
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