Lawrence V Harrison, M.D.
Individual provider Active NPI Psychiatry Physician · Orange, CA
NPI 1376976944 · NPPES record last updated Sep 22, 2021
Key facts
- NPI
- 1376976944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A23034 (CA)
- Practice address
- 1745 W Orangewood Ave
Suite 101
Orange, CA 92868-2004 - Phone
- (714) 469-2062
- NPI assigned
- Aug 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23034 | CA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A23034 | CA | Yes |
Addresses
Primary practice location
1745 W Orangewood Ave
Suite 101
Orange, CA 92868-2004
Mailing address
1745 W Orangewood Ave
Suite 101
Orange, CA 92868-2004
Phone (714) 469-2062
Other practice location 1
40925 County Center Dr Ste 2002nd
Temecula, CA 92591-6054
Phone (951) 358-3589
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A023034 | Medicaid | CA |
Other providers in Orange, CA
- Rodney Alexander Harris
- Saniah M Harris
- Terri Lea Harris
- William G Harris
- Yasmyn Harris
- Matty Judith Harrison
- Timothy Andrew Harrison
- Sarah Nicole Harrod
- Hart Community Homes
- Hart Community Homes
All providers in Orange, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.