Individual
MR. STEVE K LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP C
Contact information
Practice address
1020 TIJERAS AVE NE, ALBUQUERQUE, NM 87106
(505) 848-3124
(505) 848-5008
Mailing address
1020 TIJERAS AVE NE, ALBUQUERQUE, NM 87106-4749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01184
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48976261
—
NM
01
—
541170YQ9X
MEDICARE PTAN
NM
Enumeration date
12/13/2005
Last updated
09/20/2018
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