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1205065000
LARRY LAWSON
CROMWELL, CT
NPI
1205065000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: CT CT1402)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
Mr. LARRY LAWSON DO
51 SHUNPIKE RD SUITE 29
CROMWELL, CT 06416-2497
Phone number: 860-635-4600
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Mailing Address
Mr. LARRY LAWSON DO
PO BOX 4153
HARTFORD, CT 06147-4153
Phone number: 860-635-4600
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