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Contact Information

JERILYNN A MARQUE, LPN, LMT, BCTMB
6549 LAKE STREET
SUITE 400
LAKE CHARLES, LA70605
 Phone: 337-853-0370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for JERILYNN A MARQUE · (Female)

NPI # 1568206845
Status Active
Credentials LPN, LMT, BCTMB
Entity Individual
Enumeration date 06/21/2024
Last updated 06/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # LA-9815
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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