Individual
DR. COLLEEN ELISE LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
128 W MAIN ST, WATERTOWN, NY 13601-1989
(315) 782-5961
(315) 782-4496
Mailing address
128 W MAIN ST, WATERTOWN, NY 13601-1989
(315) 782-5961
(315) 782-4496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055754
NY
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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