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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X031773 (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.