Individual provider Active NPI

Lily Lane Lunnemann, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1659551539
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12464 Issued in OR
Practice address
492 E 13TH Ave Ste 200
Eugene, OR 97401-4250
Phone
(541) 342-4520
Fax
(541) 485-7102
NPI assigned
Nov 8, 2007
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 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 12464 OR Primary

Addresses

Primary practice location

492 E 13TH Ave Ste 200
Eugene, OR 97401-4250

Mailing address

4071 Donald St Apt E
Eugene, OR 97405-3973
Phone (541) 653-0965

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
12464ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1659551539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4071 DONALD ST APT E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053973",
            "telephone_number": "541-653-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "492 E 13TH AVE STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014250",
            "telephone_number": "541-342-4520",
            "fax_number": "541-485-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNNEMANN",
        "first_name": "LILY",
        "middle_name": "LANE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "12464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.