| Doctor Name: | LORI I LAURIDSEN |
| NPI Number: | 1104030048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC |
| License Number: | MH9753 |
| Business Practice Address: | 661 Seminola Blvd Casselberry, FL - 327073057 |
| Business Phone Number: | 4076786655 |
| Business Fax Number: | 4076966999 |
| Mailing Address: | 822 Rill Dr, ALTAMONTE SPRINGS |
| State: | FL |
| Postal Code: | 327147524 |
| Phone Number: | 4074355013 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 12/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH9753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |