Individual
NICOLE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
2272 DOWNER STREET RD, BALDWINSVILLE, NY 13027-9701
(315) 210-8581
Mailing address
109 W GRANGER RD, SYRACUSE, NY 13219-1417
(315) 210-8581
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001580
NY
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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