| Lisa Nicholas, | |
|
610 Christina Dr Apt 202, Royal Palm Beach, FL 33414-2192 | |
| (347) 551-2544 | |
| Not Available |
| Full Name | Lisa Nicholas |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 610 Christina Dr Apt 202, Royal Palm Beach, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679437339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA95463 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Nicholas, 610 Christina Dr Apt 202, Wellington, FL 33414-2192 Ph: (347) 551-2544 | Lisa Nicholas, 610 Christina Dr Apt 202, Royal Palm Beach, FL 33414-2192 Ph: (347) 551-2544 |
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