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Individual

MR. KEVIN DONALD LAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
615 CRESCENT EXECUTIVE CT, SUITE 332, LAKE MARY, FL 32746-2116
(800) 956-6303
Mailing address
615 CRESCENT EXECUTIVE CT, SUITE 332, LAKE MARY, FL 32746-2116
(800) 956-6303

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2773972
FL

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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