Provider Demographics
NPI:1164915492
Name:ORR, LAWRENCE DEVELD
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:DEVELD
Last Name:ORR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4829 SABERO LN
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-1462
Mailing Address - Country:US
Mailing Address - Phone:817-501-1351
Mailing Address - Fax:
Practice Address - Street 1:4829 SABERO LN
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-1462
Practice Address - Country:US
Practice Address - Phone:817-501-1351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide