Individual
JEAN C LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 E MOUNTAIN VILLAGE DR, WASILLA, AK 99654-7373
(907) 203-7970
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
34561
AK
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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