NPI 1063096725

Lawrence Bruce Hiltz

Practitioner Prevention Professional Falmouth, MA

Practice location

Address: 200 Ter Heun Dr, Falmouth, MA 02540-2525
Phone: (508) 540-6550

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1639219314 (MA)

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Registry record

NPI: 1063096725
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2021
Record last updated: 10 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.