Provider Demographics
NPI:1427382324
Name:LARSEN-STRAUSS, LORRIE MARIE (LP)
Entity Type:Individual
Prefix:MRS
First Name:LORRIE
Middle Name:MARIE
Last Name:LARSEN-STRAUSS
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:LORRAINE
Other - Middle Name:LARSEN
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LP
Mailing Address - Street 1:3 W 29TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4560
Mailing Address - Country:US
Mailing Address - Phone:212-725-7850
Mailing Address - Fax:212-689-3212
Practice Address - Street 1:3 W 29TH ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4560
Practice Address - Country:US
Practice Address - Phone:212-725-7850
Practice Address - Fax:212-689-3212
Is Sole Proprietor?:No
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP72340102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst