ED D LAURITSEN PHD PC

LAKESIDE, AZ
NPI1720213721
Entity TypeOrganization
Authorized ContactED D LAURITSEN
President
928-367-9995
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AZ  1256)
Enumeration Date2009-05-19
Last Update Date2009-05-19
Business Address
ED D LAURITSEN PHD PC
218 W WHITE MOUNTAIN BLVD SUITE D
LAKESIDE, AZ 85929
Phone number: 928-367-9995
Mailing Address
ED D LAURITSEN PHD PC
218 W WHITE MOUNTAIN BLVD SUITE D
LAKESIDE, AZ 85929
Phone number: 928-367-9995
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