Individual
DR. TREVOR LAURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3225 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(541) 774-5700
Mailing address
3225 HILLCREST PARK DR, MEDFORD, OR 97504-7657
(503) 893-6900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8689261-1701
UT
1835P2201X
Ambulatory Care Pharmacist
Primary
0016737
OR
Other
Enumeration date
08/08/2017
Last updated
03/25/2020
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