Individual
MRS. BETH ANNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD CDE
Contact information
Practice address
4941 SHADY KNOLL AVE NW, MASSILLON, OH 44646-9518
(330) 705-6040
Mailing address
4941 SHADY KNOLL AVE NW, MASSILLON, OH 44646-9518
(330) 705-6040
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5348
OH
Other
Enumeration date
10/02/2017
Last updated
11/27/2018
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