Doctor Name: | LARA LAINEZ |
NPI Number: | 1588791990 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MA 42327 |
Business Practice Address: | 1456 S Semoran Blvd Orlando, FL - 328072918 |
Business Phone Number: | 4073805050 |
Business Fax Number: | 4073803806 |
Mailing Address: | 5208 Lake Margaret Dr Apt 1301, ORLANDO |
State: | FL |
Postal Code: | 328126144 |
Phone Number: | 4078834423 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA 42327 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |