Individual
JOHN LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
196 COURT ST, MIDDLETOWN, CT 06457-3302
(860) 344-5510
(860) 344-5507
Mailing address
196 COURT ST, MIDDLETOWN, CT 06457-3302
(860) 344-5510
(860) 344-5507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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