Individual provider Active NPI

Lawrence A Lee

  • Massage Therapist
  • Lake City, FL
National Provider Identifier
1285445098
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA94274 Issued in FL
Practice address
725 SE Baya Dr Ste 106
Lake City, FL 32025-6092
Phone
(386) 365-9317
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA94274 FL Primary

Addresses

Primary practice location

725 SE Baya Dr Ste 106
Lake City, FL 32025-6092

Mailing address

2441 SW Birley Ave
Lake City, FL 32024-0982
Phone (386) 365-9317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA94274FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Citytherapeutic LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

725 SE Baya Dr
Ste 106
Lake City, FL 32025
Phone (386) 365-9317

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1285445098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 SW BIRLEY AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240982",
            "telephone_number": "386-365-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR STE 106",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256092",
            "telephone_number": "386-365-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA94274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.