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Contact Information

JONATHAN M LAURITSEN, DO
4708 ALLIANCE BLVD STE 550
PLANO, TX75093-5363
 Phone: 469-800-6780
 Fax: 469-800-6825
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JONATHAN M LAURITSEN · (Male)

NPI Number 1346773017
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/09/2017
Last updated 07/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # S4517
  • TX Medicaid 1346773017
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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