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General NPI Number Information
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NPI Number | 1881503621
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Entity Type | Organization
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Legal Business Name | CORINNE LAZO LMT, LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 8147 SW SENECA ST
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City | TUALATIN
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State | OR
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Zip | 97062-8416
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Country | US
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Telephone | 503-869-7470
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Fax | 971-358-8082
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Provider Business Mailing Address
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Address Line | 8147 SW SENECA ST
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City | TUALATIN
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State | OR
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Zip | 97062-8416
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Country | US
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Telephone | 503-869-7470
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Fax | 971-358-8082
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Authorized Official
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Title or Position | OWNER
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Name | CORINNE LAZO
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Credential | LMT
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Telephone | 503-869-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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