Lawrence Nutrition Clinic LLC
NPI #1144984287 in Bloomington, Illinois
Provider Information
- NPI Number
- 1144984287
- Entity Type
- Organization
- Organization Name
- Lawrence Nutrition Clinic LLC
- Primary Specialty
- Nutritionist - Nutrition, Education
- Enumeration Date
- Oct 25, 2021
- Last Updated
- Oct 25, 2021
Practice Location
- Address
- 1203 MORRISSEY DR STE B
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7510
- Phone
- (309) 590-6791
Authorized Official
- Name
- MRS. JAVELIN M LAWRENCE, CNSC
- Title
- OWNER
- Phone
- (309) 590-6791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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