Ed D Lauritsen Phd PC
Ed D Lauritsen Phd PC is a healthcare organization registered as Clinical Psychologist in Lakeside, AZ, holding Type 2 (organization) NPI 1720213721 since 2009. The authorized official on file is Ed Lauritsen, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720213721 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ed D Lauritsen Phd PC |
| Practice address | 218 W WHITE MOUNTAIN BLVD, SUITE D, Lakeside, AZ, 85929 |
| Phone | 9283679995 |
| Fax | 9283679988 |
| Enumeration date | 2009-05-19 |
| Last updated in NPPES | 2009-05-19 |
Authorized official
| Name | Ed Lauritsen |
|---|---|
| Title | President |
| Phone | 9283679995 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Primary | 1256 | AZ |
Copy-ready billing details
Provider: Ed D Lauritsen Phd PC NPI: 1720213721 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 218 W WHITE MOUNTAIN BLVD, SUITE D, Lakeside, AZ, 85929
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043249220 | Lorna Reisner | Individual | Nurse Practitioner | Lakeside, AZ |
| 1104978600 | Oluwagbenga Serrano | Organization | Gastroenterology Physician | Lakeside, AZ |
| 1972706786 | Mustang Chiropractic, LLC | Organization | Chiropractor | Lakeside, AZ |
| 1699956235 | Peace Family Medicine PC | Organization | Family Medicine Physician | Lakeside, AZ |
| 1528487840 | Jesse Wilcock | Individual | Occupational Therapist | Lakeside, AZ |
Verify this record
Cross-check NPI 1720213721 against the authoritative CMS record: view Ed D Lauritsen Phd PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Ed D Lauritsen Phd PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-05-19.