Lewis, Ladon Stacy

Lewis, Ladon Stacy is an sole proprietor health care provider with primary practice located at 3650 Nantucket Island Dr Apt. 101, Port Orange FL 32129-5336. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Lewis, Ladon Stacy can be contacted via phone (386) 679-4996.

Contact Information

Primary practice address
3650 Nantucket Island Dr Apt. 101 Port Orange FL 32129-5336
Phone: (386) 679-4996
Fax: (386) 322-3870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA52351 Florida

Profile Details

NPI number 1104084300
LBN Legal business name Lewis, Ladon Stacy
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2008
Last updated May 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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