Derek Lauritzen

NPI 1619735503 · on the registry since 2024

Practice

Address: 2180 Johnson Ave
San Luis Obispo, CA 93401
Phone: (805) 781-4768
Organisation at this address: Good Samaritan Shelter
County Of San Luis Obispo
County Of San Luis Obispo
San Luis Obispo Campus Health
Crestwood Behavioral Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 182

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California