Laurie Mortensen

NPI #1518563840 in Vinton, Iowa

Provider Information

NPI Number: 1518563840
Entity Type: Individual
Name: Laurie Mortensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 10, 2020
Last Updated: Dec 10, 2020

Practice Location

Address: 111 W 4TH ST
City: Vinton
State: Iowa
ZIP Code: 52349-1121
Phone: (319) 472-4274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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