Stephen L Lauritsen Od Pa

NPI 1154322287 - Optometrist - 152W00000X

NPI Details
NPI 1154322287
Enumeration Date 08/10/2005
Last Updated 02/23/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name STEPHEN LEROY STEPHEN
Position PRESIDENT/OWNER
Phone (207) 781-7277
Fax (207) 781-7277
Practice Location
204 US ROUTE 1
CARRIAGE HOUSE SQUARE
FALMOUTH ME, 04105-1342, US
Phone (207) 781-7277
Fax (207) 781-7277
Business Location
204 US ROUTE 1
CARRIAGE HOUSE SQUARE
FALMOUTH ME, 04105-1342, US
Phone (207) 781-7277
Fax (207) 781-7277
Toxanomy
Taxonomy Code 152W00000X
License State Maine
License Number 782-TA
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According to our database, Stephen L Lauritsen Od Pa NPI is 1154322287, taxonomy code is 152W00000X and license number is 782-TA, license state is located at Maine. Stephen L Lauritsen Od Pa physically located at 204 Us Route 1, Falmouth ME, 04105-1342. NPI Number 1033115704 has the healthcare provider type.

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1154322287 NPI number is provided on an as is basis without warranty of any kind. 1154322287 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen L Lauritsen Od Pa are for informational purposes only.