Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Smith Lauritzen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1619735503

Derek Smith Lauritzen is an Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2180 Johnson Ave
San Luis Obispo, CA 93401-4558
Phone: (805) 781-4768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1619735503
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 11, 2024

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