Individual
ERIC LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FOSTER PARENT
Contact information
Practice address
2702 N 3RD ST, PHOENIX, AZ 85004-1130
(602) 279-1427
Mailing address
16640 S 25TH ST, PHOENIX, AZ 85048-8202
(480) 219-4809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067595
—
AZ
Enumeration date
02/09/2007
Last updated
07/08/2007
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