Individual
DR. LAWRENCE EDWARD GRIESINGER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
100 TYLER LANE, IRVINE, KY 40336
(606) 723-5128
(606) 723-3328
Mailing address
100 TYLER LANE, IRVINE, KY 40336
(606) 723-5128
(606) 723-3328
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
KY-1184
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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