Russell Donovan Lord in Lynn Haven - Massage Therapist

Russell Donovan Lord - NPI 1861615650

Russell Donovan Lord is a Massage Therapist in Lynn Haven, Florida. Russell Donovan Lord practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Russell Donovan Lord is 1861615650. The last update date is 2007-07-08.

Russell Donovan Lord's current location address is Po Box 823, Lynn Haven, Florida. You can contact this provider via phone number 8508147980. The mailing address for Russell Donovan Lord is Po Box 823, Lynn Haven, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell Donovan Lord
Address Po Box 823, Lynn Haven, Florida
Phone Number 8508147980
Fax Number
Sole Proprietor Y
Credentials L.M.T.

NPI Number Detail

NPI Number 1861615650
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 823
City Lynn Haven
State Florida (FL)
Post Code 324440823
Phone Number 8508147980
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA-11342
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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FAQs about Russell Donovan Lord

What is the unique 10-digit identifier code assigned to Russell Donovan Lord by the Centers for Medicare & Medicaid Services?

The Russell Donovan Lord has been issued the NPI (National Provider Identifier) 1861615650 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Russell Donovan Lord is geographically located?

The Russell Donovan Lord is physically situated at the following location: Po Box 823, Lynn Haven, FL, 324440823.

What is Russell Donovan Lord's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Russell Donovan Lord is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1861615650 to Russell Donovan Lord?

The Centers for Medicare & Medicaid Services assigned the 1861615650 to Russell Donovan Lord on 2007-04-10.

As of what date were the details pertaining to Russell Donovan Lord last refreshed?

The information related to the Russell Donovan Lord, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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