Desiree Marie Lazcon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14905-146 Issued in WI

Practice address

4900 Spring St Ste 101
Mount Pleasant, WI 53406-2920

Phone

(262) 320-7323

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Desiree Marie Norval Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881460293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SPRING ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062920",
            "telephone_number": "262-320-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SPRING ST STE 101",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062920",
            "telephone_number": "262-320-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZCON",
        "first_name": "DESIREE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14905-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "NORVAL",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew T Larsen, D.P.M.
• Tanya Larsen, RDH
• Cheryl Lasselle, DPT
• Billie A Lawler, APNP
• Melissa Melissa Lawson
• Katherine Lazzara
• Jeannie Ledwitch, RDH
• Juna Abazi Lee, OD
• Lori Elizabeth Lehnert, R.D., C.D.
• Jake Lemens

• Massage Therapist in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.