Individual
LAWRENCE NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
294 MAIN STREET, WEST RUTLAND, VT 05777
(802) 438-6186
Mailing address
294 MAIN STREET, WEST RUTLAND, VT 05777
(802) 438-6186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0121493
VT
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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