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DR. DEAN L. LAURITZEN OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1265433395

Individual Registrant:
DR. DEAN L. LAURITZEN OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
101 W DECATUR ST  WEST POINT, NE 68788-1407 US
Tel: 402-372-3266  Fax: 402-372-5736

Contact information for business:
101 W DECATUR ST P.O. BOX 367 WEST POINT, NE 68788-1407 US
Tel: 402-372-3266  Fax: 402-372-5736

Registration Information:
NPI: 1265433395
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
NE767

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD OF NE465019378NE01
BLUE CROSS OF NE6717NE01
465019378NE05
47062704900NE05
47062704906NE05
47062704912NE05




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