Eddie Duane Lauritsen, is a
Psychologist based in Show Low, Arizona. Eddie Duane Lauritsen is licensed to practice in Arizona (license number 1256) and his current practice location is
1141 E Cooley St, Ste E, Show Low, Arizona. He can be reached at his office (for appointments etc.) via phone at
(928) 537-0370.
NPI number for Eddie Duane Lauritsen is 1023004686 and his current mailing address is 1141 E Cooley St, Ste E, Show Low, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023004686.
Healthcare Provider's Profile
| Full Name | Eddie Duane Lauritsen |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 1141 E Cooley St, Show Low, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023004686
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Eddie Duane Lauritsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023004686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1256 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Eddie Duane Lauritsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eddie Duane Lauritsen,
1141 E Cooley St, Ste E,
Show Low, AZ 85901-5103
Ph: (928) 537-0370 | Eddie Duane Lauritsen,
1141 E Cooley St, Ste E,
Show Low, AZ 85901-5103
Ph: (928) 537-0370 |
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