Provider Demographics
NPI:1164266581
Name:LAWICKI, SHARON MARIE
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:LAWICKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 E CANAL DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-3901
Mailing Address - Country:US
Mailing Address - Phone:209-669-2577
Mailing Address - Fax:209-669-2593
Practice Address - Street 1:151 E CANAL DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3901
Practice Address - Country:US
Practice Address - Phone:209-669-2577
Practice Address - Fax:209-669-2593
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator