MRS. Javelin Monique Lawrence, CNSC

NPI #1831853969 in Bloomington, Illinois

Provider Information

NPI Number: 1831853969
Entity Type: Individual
Name: MRS. Javelin Monique Lawrence, CNSC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: CNSC
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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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