Provider Demographics
NPI:1982499927
Name:ALSPAUGH, LAWRENCE EUGENE II (CAP)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:EUGENE
Last Name:ALSPAUGH
Suffix:II
Gender:
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 E EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-3423
Mailing Address - Country:US
Mailing Address - Phone:352-505-2432
Mailing Address - Fax:
Practice Address - Street 1:1959 E EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-3423
Practice Address - Country:US
Practice Address - Phone:352-505-2432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0100573101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)