Provider Demographics
NPI:1861668139
Name:NORTON, LAWRENCE WESLEY (DED)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:WESLEY
Last Name:NORTON
Suffix:
Gender:M
Credentials:DED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 DENALI ST STE 1606
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-2753
Mailing Address - Country:US
Mailing Address - Phone:907-334-9842
Mailing Address - Fax:907-334-9843
Practice Address - Street 1:2550 DENALI ST STE 1606
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2753
Practice Address - Country:US
Practice Address - Phone:907-334-9842
Practice Address - Fax:907-334-9843
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK57103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool