Individual
ALISON MARLANA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20104 NYS RT 3, WATERTOWN, NY 13601-5560
(315) 779-7000
(315) 779-7109
Mailing address
14 PLEASANT ST, CANTON, NY 13617-1153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
025523
NY
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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