Individual provider · Type 1 NPI
Lauren Tucker, LMT, MLD-C, CLT
Massage Therapist · Lake Elsinore, CA
NPI number
1346019155
Active
Practice location
31569 Canyon Estates Dr Ste 109
Lake Elsinore, CA 92532-0470
Fax (951) 399-0021
Mailing address
35858 Octopus Ln
Wildomar, CA 92595-8095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 94640 (CA) |
| Massage Therapist Primary | 225700000X | 94640 (CA) |
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.
Another provider at this address
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About NPI 1346019155
Lauren Tucker, LMT, MLD-C, CLT's National Provider Identifier is 1346019155, issued on Dec 21, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Jun 2, 2025.