Individual
GREGORY LAUVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2145 W SOUTHERN AVE, MESA, AZ 85202-4715
(480) 835-3000
(480) 512-6257
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(866) 869-2395
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230756
—
AZ
01
—
AZ0710510
BC/BS OF AZ
AZ
Enumeration date
03/23/2006
Last updated
10/24/2007
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