Most Relevant Information
Provider Data
| NPI Number: | 1003653353 |
| Provider Name: | ALEXANDER LACSON CMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/12/2024 |
| Last Updated: | 07/12/2024 |
Provider Practice Location
1385 SHAW AVE STE 102
CLOVIS
CA
936123949
Practice Location Phone/Fax
| Phone: | 7185512564 |
| Fax: |
Provider Mailing Location
1385 SHAW AVE STE 102
CLOVIS
CA
936123949
Provider Mailing Phone/Fax
| Phone: | 7185512564 |
| Fax: |