Individual
MS. LOUANN RAE LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2060
(216) 844-2064
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.000485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067675
—
OH
Enumeration date
11/20/2006
Last updated
12/18/2012
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