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Individual

BRANDON LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MLS

Contact information

Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
409 EDGEWOOD AVE, NEW HAVEN, CT 06511-4013

Taxonomy

Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
CT

Other

Enumeration date
03/15/2018
Last updated
03/17/2018
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