Organization
MARK LAURSEN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LAURSEN (OWNER)
(928) 282-0774
Entity
Organization
Contact information
Practice address
10 VIEW DR, SEDONA, AZ 86336-5544
(928) 282-0774
Mailing address
10 VIEW DR, SEDONA, AZ 86336-5544
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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