Individual
CLINTON LAURITSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 WALNUT ST, SUITE 200, ROOM 232 TJUH HEADACHE CENTER, PHILADELPHIA, PA 19107
(215) 955-5266
(844) 575-1344
Mailing address
900 WALNUT ST, SUITE 200, ROOM 232 TJUH HEADACHE CENTER, PHILADELPHIA, PA 19107
(215) 955-5266
(844) 575-1344
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS018236
PA
Other
Enumeration date
03/20/2012
Last updated
10/07/2016
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