Provider Demographics
NPI:1275680571
Name:LAWRENCE-SMITH, MICHELLE L
Entity Type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:L
Last Name:LAWRENCE-SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N N ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4805
Mailing Address - Country:US
Mailing Address - Phone:805-486-2433
Mailing Address - Fax:
Practice Address - Street 1:500 N N ST
Practice Address - Street 2:2055 SAVIERS RD
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4805
Practice Address - Country:US
Practice Address - Phone:805-486-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)