Healthcare Provider Details

I. General information

NPI: 1497595532
Provider Name (Legal Business Name): LAMAGGIE HULL LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 06/09/2024
Certification Date: 06/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 POSTAGE CIR STE 100
PICKERINGTON OH
43147-7002
US

IV. Provider business mailing address

180 POSTAGE CIR STE 100
PICKERINGTON OH
43147-7002
US

V. Phone/Fax

Practice location:
  • Phone: 614-604-6358
  • Fax:
Mailing address:
  • Phone: 614-604-6358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.026178
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: