IndividualActive
Javelin Lawrence, CNSC
NPI 1831853969 · Nutritionist · Bloomington, IL
Javelin Lawrence, CNSC is a Nutritionist provider in Bloomington, IL (NPI 1831853969).
Provider details
- NPI number
- 1831853969
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- CNSC
- Sex
- Female
- Sole proprietor
- Yes
Practice location
1203 Morrissey Dr Ste B
Bloomington, IL 61701-7510
Phone: (309) 590-6791
Street-level locationGet directions
Mailing address
1203 Morrissey Dr Ste B
Bloomington, IL 61701-7510
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.