Individual
MR. JAMES A LAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21907 WESTERNPORT RD SW, WESTERNPORT, MD 21562-2235
(301) 786-4171
(301) 786-4203
Mailing address
112 VICTORIA LN, FROSTBURG, MD 21532-1445
(301) 268-9995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19198
MD
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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