Individual
MR. LAWRENCE BAYNARD HUBBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., R.D., C.D.N.
Contact information
Practice address
1315 LOOMIS ST, LIFESPIRE CLINIC SERVICES, BRONX, NY 10461-2310
(718) 892-7801
Mailing address
301 W 45TH ST APT 18E, NEW YORK, NY 10036-3838
(917) 280-6613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
48 006816
NY
Other
Enumeration date
11/03/2009
Last updated
04/14/2010
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