| Doctor Name: | LAWRENCE M GEORGE |
| NPI Number: | 1841221611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSW |
| License Number: | PA SW 123210 |
| Business Practice Address: | 28190 Willow St Pike Life Span Psychological Services Pc Willow Street, PA - 17584 |
| Business Phone Number: | 7174641464 |
| Business Fax Number: | 7174644348 |
| Mailing Address: | 936 Virginia Ave, LANCASTER |
| State: | PA |
| Postal Code: | 176033116 |
| Phone Number: | 7173919974 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PA SW 123210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |