Renee Lauritzen MD a Professional Corporation

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G77320 Issued in CA

Legal business name

RENEE LAURITZEN MD A PROFESSIONAL CORPORATION

Doing business as

Pacific Orthopedics and Sports Medicine

Practice address

1500 Palm St
Suite a
San Luis Obispo, CA 93401-2998

Phone

(805) 542-9678

Fax

(805) 542-9685

NPI assigned

Nov 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Renee S Lauritzen, M.D.

Title

Doctor

Phone

(805) 542-9678

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pacific Orthopedics and Sports Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1770654378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PALM ST",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012998",
            "telephone_number": "805-542-9678",
            "fax_number": "805-542-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PALM ST",
            "address_2": "SUITE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012998",
            "telephone_number": "805-542-9678",
            "fax_number": "805-542-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE LAURITZEN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "LAURITZEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "805-542-9678",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G77320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G773200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G77320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rem Diagnostics, Inc.
• Jennifer Remington, M.D.
• Paul M Remis, MD
• Susan E. Renard
• Rene H. Bravo MD Inc (Bravo Pediatrics)
• Rescare Inc. (Normal Life of California)
• Alexis Resendez, AMFT
• Hector Resendiz, LVN
• Kelly Resnick
• Restorative Partners, Inc.

• Orthopaedic Surgery Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.