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MR. LAWRENCE DAVID PARK RADT R1503770423
NPI 1497455869
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since March 06, 2023
3707 E SHIELDS AVE, FRESNO, CA 93726(559) 229-9040 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 29, 2023, Mar 6, 2023 (2 updates tracked since 2023).

About Mr. Lawrence David Park Radt R1503770423 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAWRENCE DAVID PARK RADT R1503770423 (NPI 1497455869) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1497455869
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. LAWRENCE DAVID PARKCredential: RADT R1503770423
Location Address3707 E SHIELDS AVEFresno, CA 93726-7029
Mailing Address3707 E Shields AveFresno, CA 93726-7029 · (559) 229-9040
Phone(559) 229-9040
Sole ProprietorNo
Enumeration DateMarch 6, 2023
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1497455869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3707 E SHIELDS AVE, Fresno, CA 93726
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Other Identifiers 1

OtherR1503770423CA · Ccapp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA RENIA MARTINEZ
Licensed Vocational Nurse
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. KATHLEEN ANNE DENMAN
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. CYNTHIA JOHNSON-WRIGHT
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (592) 299-0405
SARAH ANN CRAWFORD CERTIFIED CADTP-7226
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. AMY BETTENCOURT
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
STACY LEANN ORTIZ
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9041
JAMIE DALE SIMS SMITH LVN
Licensed Vocational Nurse
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
ANGELICA LORRAINE LEDESMA
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Park's NPI number?

The NPI number for Lawrence Park is 1497455869. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Lawrence Park located?

Lawrence Park practices at 3707 E Shields Ave, Fresno, CA 93726. The listed phone number is (559) 229-9040.

What is Lawrence Park's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lawrence Park was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.