Provider Demographics
NPI:1154671477
Name:LAWRENZ, LAURIE J (LPC)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:J
Last Name:LAWRENZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 S 8TH ST # G20
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4463
Mailing Address - Country:US
Mailing Address - Phone:920-226-9599
Mailing Address - Fax:920-783-8422
Practice Address - Street 1:615 S 8TH ST # G20
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081
Practice Address - Country:US
Practice Address - Phone:920-226-9599
Practice Address - Fax:920-783-8422
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-13
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10688-120104100000X
WI5458-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker