Individual
KATHERYN J. LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 S 10TH AVE, YAKIMA, WA 98902-3521
(509) 574-3600
(509) 574-3654
Mailing address
PO BOX 9787, YAKIMA, WA 98909-0787
(509) 574-3600
(509) 574-3654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
51613
MN
207Q00000X
Family Medicine Physician
MD60749471
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD60749471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407910425
—
MN
05
—
1407910425
—
WI
05
—
2083894
—
WA
Enumeration date
12/21/2006
Last updated
01/08/2019
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