NPI | 1144984287 |
---|---|
Doing Business As | LAWRENCE NUTRITION CLINIC |
Entity Type | Organization |
Authorized Contact | JAVELIN M LAWRENCE Owner 309-590-6791 |
Organization Subpart ? | No |
Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
Enumeration Date | 2021-10-25 |
Last Update Date | 2021-10-25 |