LISE D LAWRENCE

BRISTOL, CT
NPI1659606028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CT  000753)
Enumeration Date2009-10-02
Last Update Date2009-10-02
Business Address
Ms. LISE D LAWRENCE RD
41 BREWSTER ROAD
BRISTOL, CT 06011
Phone number: 860-585-3911
Mailing Address
Ms. LISE D LAWRENCE RD
62 LANTERN HL
NEWINGTON, CT 06111-3413
Phone number: 860-667-9477