Individual
VICKI LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2014 DUDLEY AVE, PARKERSBURG, WV 26101-3405
(304) 422-1841
(304) 865-0592
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
968-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6300073000
—
WV
Enumeration date
11/29/2005
Last updated
02/09/2022
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