Stephen L Lauritsen Od PA

NPI #1154322287 in Falmouth, Maine

Provider Information

NPI Number: 1154322287
Entity Type: Organization
Organization Name: Stephen L Lauritsen Od PA
Primary Specialty: Optometrist
Enumeration Date: Aug 10, 2005
Last Updated: Feb 23, 2010

Practice Location

Address: 204 US ROUTE 1
Address 2: CARRIAGE HOUSE SQUARE
City: Falmouth
State: Maine
ZIP Code: 04105-1342
Phone: (207) 781-7277

Authorized Official

Name: DR. STEPHEN LEROY LAURITSEN, OD
Title: PRESIDENT/OWNER
Phone: (207) 781-7277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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