Provider Demographics
NPI:1790017846
Name:LAWRENCE, ALOK J (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:ALOK
Middle Name:J
Last Name:LAWRENCE
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 FAIRMONT ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4441
Mailing Address - Country:US
Mailing Address - Phone:671-576-0940
Mailing Address - Fax:
Practice Address - Street 1:46 FAIRMONT ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4441
Practice Address - Country:US
Practice Address - Phone:671-576-0940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-31
Last Update Date:2010-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1383174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist