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Lawrence Nutrition Clinic LLC — NPI 1144984287, Bloomington, IL | NPI Central

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NPI 1144984287

OrganizationActive

Lawrence Nutrition Clinic LLC

NPI 1144984287 · Nutrition Education Nutritionist · Bloomington, IL

Provider details

NPI number: 1144984287
Entity type: Organization
Primary specialty: Nutrition Education NutritionistDietary & Nutritional Service Providers
Organization subpart: No
Authorized official: Javelin Lawrence, Owner(309) 590-6791

Specialties & taxonomies

Nutrition Education NutritionistPrimary133NN1002X
Dietary & Nutritional Service Providers

Practice location

1203 Morrissey Dr Ste B

Bloomington, IL 61701-7510

Phone: (309) 590-6791

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1203 Morrissey Dr Ste B

Bloomington, IL 61701-7510

Other names (DBA / former)

Doing business as: Lawrence Nutrition Clinic

Registry dates

Enumerated: 2021-10-25
Last updated: 2021-10-25
Certified: 2021-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.