Individual
MRS. MARCY PUGLIA LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
114 GILBERT AVE, FARMINGTON, ME 04938-6544
(505) 903-0919
Mailing address
114 GILBERT AVE, FARMINGTON, ME 04938-6544
(505) 903-0919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1148
ME
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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