NPI 1083245377
Jill Lynn Lawrence, LMT
Practice location
- Address
- 700 S Main St, Moscow, ID 83843-3056
- Phone
- (208) 883-4104
- Mailing address
- 700 S Main St, Moscow, ID 83843-3046
Registered specialties
Massage Therapist
Primary
Registry record
- NPI
- 1083245377
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Jan 2020
- Record last updated
- 27 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.