NPI 1124363767

Derek C Lalone, LMT

Practitioner Massage Therapist Cheektowaga, NY

Practice location

Address: 711 Borden Rd, Cheektowaga, NY 14227-3232
Phone: (716) 668-8108
Mailing address: 3624 Dixon Rd, Mannsville, NY 13661-4243

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 27026515 (NY)

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Registry record

NPI: 1124363767
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2012
Record last updated: 9 Dec 2012

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.