Lauritsen, Jonathan Mark

Lauritsen, Jonathan Mark is an individual health care provider with primary practice located at 4708 Alliance Blvd Ste 550 , Plano TX 75093-5363. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lauritsen, Jonathan Mark can be contacted via phone (469) 800-6780.

Contact Information

Primary practice address
4708 Alliance Blvd Ste 550 Plano TX 75093-5363
Phone: (469) 800-6780
Fax: (469) 800-6825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X S4517 Texas

Profile Details

NPI number 1346773017
LBN Legal business name Lauritsen, Jonathan Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2017
Last updated Jul 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346773017 NPPES
Texas MEDICAID 1346773017

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