JON DAVID LAURITZEN

LAKEWOOD, CO
NPI1922148519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
Mr. JON DAVID LAURITZEN BA
7290 W 14TH AVE
LAKEWOOD, CO 80214-4725
Phone number: 303-232-8047
Mailing Address
Mr. JON DAVID LAURITZEN BA
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number:
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