| NPI | 1023297017 |
|---|---|
| Other Name | REBECCA LYNN LAURITZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MN 56970) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: WI 52482-20) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2019-02-13 |