Individual
LORI A LAWRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
1350 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4376
(417) 761-5850
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2000152432
MO
103TC0700X
Clinical Psychologist
PSY1844
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
494893506
—
MO
Enumeration date
08/05/2008
Last updated
01/18/2023
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