Individual provider · Type 1 NPI
Lairen Baldevarona Mohran, LMT
Massage Therapist · Long Island City, NY
NPI number
1033920814
Active
Practice location
3616 Broadway Fl 2
Long Island City, NY 11106-1046
Mailing address
3170 35th St Apt 6
Long Island City, NY 11106-1552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 031773 (NY) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1033920814
Lairen Baldevarona Mohran, LMT's National Provider Identifier is 1033920814, issued on Jan 20, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Long Island City, NY. The record was last updated on Jan 20, 2025.