Individual provider · Type 1 NPI
Derek Brian Lauritzen, MD
Retina Specialist (Ophthalmology) Physician · San Luis Obispo, CA
NPI number
1841348166
Active
Practice location
941 California Blvd
San Luis Obispo, CA 93401
Fax (805) 434-9888
Other practice locations
- 1050 Las Tablas Rd Ste 6, Templeton, CA 93465-9792 · (805) 434-2350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | G77319 (CA) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | G77319 (CA) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Another provider at this address
About NPI 1841348166
Derek Brian Lauritzen, MD's National Provider Identifier is 1841348166, issued on Jan 5, 2007. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 24, 2025.