| Doctor Name: | MR. LAWRENCE BAYNARD HUBBELL |
| NPI Number: | 1194052787 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., R.D., C.D.N. |
| License Number: | 48 006816 |
| Business Practice Address: | 1315 Loomis St Lifespire Clinic Services Bronx, NY - 104612310 |
| Business Phone Number: | 7188927801 |
| Business Fax Number: | |
| Mailing Address: | 301 W 45th St Apt 18e, NEW YORK |
| State: | NY |
| Postal Code: | 100363838 |
| Phone Number: | 9172806613 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2009 |
| NPI Last Update Date: | 04/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 48 006816 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |