Provider Demographics
NPI:1083796528
Name:LOSONCY, LAWRENCE JAMES (PHD)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JAMES
Last Name:LOSONCY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 S 95TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-4947
Mailing Address - Country:US
Mailing Address - Phone:918-640-9004
Mailing Address - Fax:918-250-5904
Practice Address - Street 1:2316 S GARNETT RD
Practice Address - Street 2:SUITE A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-5120
Practice Address - Country:US
Practice Address - Phone:918-622-3393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK434106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist