Individual
LAWRENCE J DISCENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
31 A ENSIGN DRIVE, AVON, CT 06001
(860) 409-9125
(860) 674-8031
Mailing address
31 A ENSIGN DRIVE, AVON, CT 06001
(860) 409-9125
(860) 674-8031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CT
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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