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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LADON STACY LEWIS, L.M.T.

Active Sole Proprietor

MR. LADON STACY LEWIS, L.M.T. is a Massage Therapist healthcare provider located in PORT ORANGE, Florida. NPI 1104084300 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · PORT ORANGE, FL

Registration Details

NPI Number
1104084300
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2008 (18.197503963143 yrs)
Last Updated
May 26, 2008
License
MA52351 (FL)
Sole Proprietor
Yes

Practice Information

Address
3650 NANTUCKET ISLAND DR
APT. 101
PORT ORANGE, FL, 321295336
Browse FL providers · Browse ZIP 32129
Phone
3866794996
Fax
3863223870
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in PORT ORANGE, FL

Name Credential NPI
GINA MARIE DEBERNARDO 1407047285
ROBERTA ANNE HOAG 1376701086
MR. GREGGE FORREST STEWART LMT 1700042504
MS. AMANDA J DIAZ L.M.T. 1265683510
DR. AARON R. M. DUNCAN D.C., L.M.T. 1306173588
MRS. MARCIE RACHELE LEBRUN L.M.T 1689996852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.