| Ms Lisa M Kristoffersen, LMT | |
|
11 S Lake St # 3, Grayslake, IL 60030-1511 | |
| (847) 693-1515 | |
| Not Available |
| Full Name | Ms Lisa M Kristoffersen |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 11 S Lake St # 3, Grayslake, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568897478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.010659 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lisa M Kristoffersen, LMT 11 S Lake St # 3, Grayslake, IL 60030-1511 Ph: (847) 693-1515 | Ms Lisa M Kristoffersen, LMT 11 S Lake St # 3, Grayslake, IL 60030-1511 Ph: (847) 693-1515 |
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