Individual
JACOB LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 FT WASHINGTN AVE FL 4, NEW YORK, NY 10032-3733
(212) 305-1107
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
297343
NY
Other
Enumeration date
06/10/2011
Last updated
03/15/2023
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