Individual
MR. LAWRENCE CARLTON STARKE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1742 BERKELEY AVE, PETERSBURG, VA 23805-2806
(804) 733-4494
(804) 733-9066
Mailing address
116 W BROAD ST, BLACKSTONE, VA 23824-1710
(434) 292-1104
(434) 292-1134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010243696
—
VA
01
—
087775M
SENTARA
VA
01
—
188470
ANTHEM
VA
Enumeration date
04/25/2006
Last updated
04/10/2013
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