Individual
DR. JASON RYAN LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-5800
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-5800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
281793
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2017
Last updated
03/29/2023
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