Individual
DR. DEAN L. LAURITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 W DECATUR ST, WEST POINT, NE 68788-1407
(402) 372-3266
(402) 372-5736
Mailing address
101 W DECATUR ST, P.O. BOX 367, WEST POINT, NE 68788-1407
(402) 372-3266
(402) 372-5736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
767
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465019378
BLUE CROSS BLUE SHIELD OF NE
NE
05
—
465019378
—
NE
05
—
47062704900
—
NE
05
—
47062704906
—
NE
05
—
47062704912
—
NE
01
—
6717
BLUE CROSS OF NE
NE
Enumeration date
08/10/2005
Last updated
08/05/2014
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