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Ed D Lauritsen PHD PC

NPI #1720213721 in Lakeside, Arizona

Provider Information

NPI Number
1720213721
Entity Type
Organization
Organization Name
Ed D Lauritsen PHD PC
Primary Specialty
Psychologist - Clinical
Enumeration Date
May 19, 2009
Last Updated
May 19, 2009

Practice Location

Address
218 W WHITE MOUNTAIN BLVD
Address 2
SUITE D
City
Lakeside
State
Arizona
ZIP Code
85929
Phone
(928) 367-9995

Authorized Official

Name
ED D LAURITSEN, PHD
Title
PRESIDENT
Phone
(928) 367-9995

Specialties & Taxonomy Codes

Specialty
Psychologist - Clinical — Clinical

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