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Individual

TERRENCE LAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
109 S WARREN ST STE 301, SYRACUSE, NY 13202-1798
(315) 937-5953
Mailing address
109 S WARREN ST STE 301, SYRACUSE, NY 13202-1798
(315) 937-5953

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032951
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
032951
MASSAGE THERAPY
NY
Enumeration date
10/06/2022
Last updated
10/06/2022
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