MEDICARE: ALANNA LARDARO LMT

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
1	225700000X	Massage Therapist	007730	NY

General Provider Information

NPI Number	:	1811694235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANNA LARDARO LMT

Provider Business Mailing Address
First Line	:	29 MERRICK RD
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-2445
Country	:	US
Telephone Number	:	631-816-4079
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 MERRICK RD
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-2445
Country	:	US
Telephone Number	:	631-816-4079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	03/12/2026

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Directions to “ ALANNA LARDARO LMT” Practice Location

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