Provider Demographics
NPI:1235521931
Name:LAWRENCE, ABBEY (MED)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 1ST AVE
Mailing Address - Street 2:624
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1345
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2414 1ST AVE
Practice Address - Street 2:624
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1345
Practice Address - Country:US
Practice Address - Phone:707-236-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst