Individual
MRS. LESLIE JACQUELINE LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
153 GROVE ST, PUTNAM, CT 06260-2115
(860) 928-3723
Mailing address
13 POTTER RD, FOSTER, RI 02825-1255
(401) 392-1302
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
005748
CT
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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