Individual
MS. GEORGIA LOIS LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1706 WEST AGENCY ROAD, WEST BURLINGTON, IA 52655
(319) 768-5858
Mailing address
1706 WEST AGENCY ROAD, WEST BURLINGTON, IA 52655
(319) 768-5858
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
671
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09901
BCBS
IA
01
—
30616
BLUE CROSS IOWA
IA
Enumeration date
12/08/2005
Last updated
09/22/2008
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