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NPI Code Detail

MEDICARE: LORRAINE ROTANELLI LMP

MEDICARE: LORRAINE ROTANELLI LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00017010WA

General Provider Information

NPI Number : 1346635042
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE ROTANELLI LMP
Provider Business Mailing Address
First Line : 1218 3RD AVE STE 104
Second Line : LOBBY LEVEL
City : SEATTLE
State : WA
Zip : 98101-3008
Country : US
Telephone Number : 206-447-5619
Fax Number : 206-447-2228
Provider Business Practice Location Address
First Line : 1218 3RD AVE STE 104
Second Line : LOBBY LEVEL
City : SEATTLE
State : WA
Zip : 98101-3008
Country : US
Telephone Number : 206-447-5619
Fax Number : 206-447-2228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2015
Last Update Date : 03/31/2015

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Directions to “ LORRAINE ROTANELLI LMP” Practice Location

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