Provider Demographics
NPI:1497408934
Name:LAWRENCE, RUTH SARAH (FNLP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:SARAH
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:FNLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 JOE ENGLISH RD
Mailing Address - Street 2:
Mailing Address - City:MONT VERNON
Mailing Address - State:NH
Mailing Address - Zip Code:03057-1302
Mailing Address - Country:US
Mailing Address - Phone:603-391-1230
Mailing Address - Fax:
Practice Address - Street 1:60 MAIN ST STE 320
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2720
Practice Address - Country:US
Practice Address - Phone:603-391-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education