Individual
MS. LISE D LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
41 BREWSTER ROAD, BRISTOL, CT 06011
(860) 585-3911
Mailing address
62 LANTERN HL, NEWINGTON, CT 06111-3413
(860) 667-9477
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000753
CT
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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