Provider Demographics
NPI:1972731669
Name:HOWZW, LAWRENCE PETTWAY III (BA,CADC)
Entity type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:PETTWAY
Last Name:HOWZW
Suffix:III
Gender:M
Credentials:BA,CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 E OAK AVE
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-3442
Mailing Address - Country:US
Mailing Address - Phone:405-382-1112
Mailing Address - Fax:405-382-5747
Practice Address - Street 1:214 E OAK AVE
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-3442
Practice Address - Country:US
Practice Address - Phone:405-382-1112
Practice Address - Fax:405-382-5747
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)