IndividualActive
Derek Lauritzen, M.D.
NPI 1841348166 · Retina Specialist (Ophthalmology) Physician · San Luis Obispo, CA
Provider details
- NPI number
- 1841348166
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G77319 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
941 California Blvd
San Luis Obispo, CA 93401
Phone: (805) 434-2350
Fax: (805) 434-9888
Approximate (ZIP-level) locationGet directions
Mailing address
941 California Blvd
San Luis Obispo, CA 93401-2905
Additional practice locations (1)
- 1050 Las Tablas Rd Ste 6Templeton, CA 93465-9792Phone: (805) 434-2350Fax: (805) 434-9888
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.