Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK BRIAN LAURITZEN, M.D.
ActiveDR. DEREK BRIAN LAURITZEN, M.D. is a Sports Medicine (Emergency) healthcare provider located in SAN LUIS OBISPO, California. NPI 1841348166 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1841348166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2007 (19.651157788143 yrs)
- Last Updated
- Mar 24, 2025
- Licenses
-
G77319 (CA)G77319 (CA)
Practice Information
- Address
-
941 CALIFORNIA BLVDSAN LUIS OBISPO, CA, 93401Browse CA providers · Browse ZIP 93401
- Phone
- 8054342350
- Fax
- 8054349888
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.