Individual
BRIAN MICHAEL LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 E PASSYUNK AVE APT 2, PHILADELPHIA, PA 19147-1530
(845) 544-5848
Mailing address
609 E PASSYUNK AVE APT 2, PHILADELPHIA, PA 19147-1530
(845) 544-5848
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30 875 517
PA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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