Individual
DR. MARK E LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7064
Mailing address
200 MANZANITA DR, SEDONA, AZ 86336-4050
(928) 533-9254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21941
AZ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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