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NPI Code Detail

MEDICARE: DAYONTE LAWRENCE

MEDICARE:   DAYONTE  LAWRENCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720776453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAYONTE LAWRENCE
Provider Business Mailing Address
First Line : 5326 HEADDRESS CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464
Country : US
Telephone Number : 757-332-4642
Fax Number :
Provider Business Practice Location Address
First Line : 5326 HEADDRESS CT
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-8441
Country : US
Telephone Number : 757-332-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/01/2023

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Directions to “ DAYONTE LAWRENCE ” Practice Location

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