Provider Demographics
NPI:1912059726
Name:STRAUS, LAWRENCE K (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:K
Last Name:STRAUS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 PARDEE PL
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-2022
Mailing Address - Country:US
Mailing Address - Phone:609-203-7073
Mailing Address - Fax:
Practice Address - Street 1:993 LENOX DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2316
Practice Address - Country:US
Practice Address - Phone:609-912-1510
Practice Address - Fax:609-844-7521
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00250100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ572341Medicare UPIN