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BRIAN SCOTT LAUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
5070 ION DR, #A, SPARKS, NV 89436-1675
(775) 354-0200
(775) 354-0211
Mailing address
5070 ION DR, #A, SPARKS, NV 89436-1675
(775) 354-0200
(775) 354-0211

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
523
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100500979
NV
Enumeration date
01/17/2006
Last updated
04/15/2010
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