Douglas M Lawrence, CDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

60866603 Issued in WA

Practice address

614 Division St # 19
Port Orchard, WA 98366-4614

Phone

(360) 337-4625

Fax

(360) 337-4704

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1750852869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # 19",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-4625",
            "fax_number": "360-337-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 DIVISION ST # 19",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664614",
            "telephone_number": "360-337-4625",
            "fax_number": "360-337-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "CDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60866603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072364",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Larson, CCC-SLP
• Gerard V Lasalle, MD
• Jensen Lau, RPH
• Crystal R Laub, LMP
• Rhonda E. Law, PT
• Mitzi Gayle Lawson, LMP
• Steven Layton, CO 60699642
• Clement Phuong Nguyen Le Thanh
• Nicholas Leach, COTA/L
• Aurelia Leano

• Addiction (Substance Use Disorder) Counselor in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.