Individual
DR. GARY ROBERT LAUSTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, PHD
Contact information
Practice address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807
(541) 962-3132
Mailing address
1 UNIVERSITY BLVD, LA GRANDE, OR 97850-2807
(541) 962-3132
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650119NP FNP-PP
OR
Other
Enumeration date
10/20/2006
Last updated
03/25/2012
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