| Doctor Name: | ANNA LOUISE LAWRENCE |
| NPI Number: | 1003277039 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW26759 |
| Business Practice Address: | 207 Larkspur St Ponderay, ID - 838525011 |
| Business Phone Number: | 2082553314 |
| Business Fax Number: | 2082634198 |
| Mailing Address: | 8120 N Ainsworth Dr, HAYDEN |
| State: | ID |
| Postal Code: | 838357987 |
| Phone Number: | 2082775114 |
| Fax Number: | 2082634198 |
| NPI Enumeration Date: | 03/18/2016 |
| NPI Last Update Date: | 03/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW26759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |