Provider Demographics
NPI:1285316158
Name:KNOTT LAWRENCE, LORRAINE
Entity type:Individual
Prefix:
First Name:LORRAINE
Middle Name:
Last Name:KNOTT LAWRENCE
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 1:7940 NW 6TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-5188
Mailing Address - Country:US
Mailing Address - Phone:954-793-1125
Mailing Address - Fax:866-500-2186
Practice Address - Street 1:7940 NW 6TH ST APT 201
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-5188
Practice Address - Country:US
Practice Address - Phone:954-793-1125
Practice Address - Fax:866-500-2186
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH27592.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health