Individual
LERYLE LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LEP
Contact information
Practice address
1398 W INDIANAPOLIS AVE STE 101, FRESNO, CA 93705-0300
(559) 898-2227
Mailing address
4332 REDROCK DR, MADERA, CA 93636-8007
(559) 917-9050
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3894
CA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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