Individual
LAWRENCE WILIAM REIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2417 N LECANTO HWY, LECANTO, FL 34461-9677
(352) 270-9009
Mailing address
PO BOX 491000, LEESBURG, FL 34749-1000
(352) 315-7500
(352) 315-7587
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101901300
—
FL
Enumeration date
02/12/2016
Last updated
02/18/2019
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