| Lauren Marina Shaw, MASSAGE THERAPIST | |
|
4504 Gail Blvd, West Melbourne, FL 32904-5717 | |
| (808) 634-9641 | |
| Not Available |
| Full Name | Lauren Marina Shaw |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 4504 Gail Blvd, West Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578286019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA99114 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Marina Shaw, MASSAGE THERAPIST 4504 Gail Blvd, West Melbourne, FL 32904-5717 Ph: (808) 634-9641 | Lauren Marina Shaw, MASSAGE THERAPIST 4504 Gail Blvd, West Melbourne, FL 32904-5717 Ph: (808) 634-9641 |
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