Individual
AUSTIN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 QUEEN ST, SOUTHINGTON, CT 06489-1901
(860) 621-2225
Mailing address
200 QUEEN ST, SOUTHINGTON, CT 06489-1901
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2265
CT
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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