Provider Demographics
NPI:1376609602
Name:SEMRAU, LAWRENCE LYNN (DMIN)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:LYNN
Last Name:SEMRAU
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 SAINT PHILIP DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-0935
Mailing Address - Country:US
Mailing Address - Phone:901-262-4634
Mailing Address - Fax:901-755-9237
Practice Address - Street 1:800 N HOUSTON LEVEE RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6614
Practice Address - Country:US
Practice Address - Phone:901-262-4634
Practice Address - Fax:901-755-9237
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC 195101YP2500X
TNLMFT 70106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist