Provider Demographics
NPI:1639464522
Name:LAWRENCE, LORI DIANNE (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:DIANNE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PENN CENTER BLVD
Mailing Address - Street 2:SUITE 604
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5511
Mailing Address - Country:US
Mailing Address - Phone:412-877-7714
Mailing Address - Fax:
Practice Address - Street 1:300 PENN CENTER BLVD
Practice Address - Street 2:SUITE 604
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5511
Practice Address - Country:US
Practice Address - Phone:412-877-7714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional