Individual
BRYCEN MATTHEW LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7201 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6709
(509) 221-5520
(509) 221-5521
Mailing address
21651 OMAHA AVE, PARKER, CO 80138-7240
(480) 528-9166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOL.OL.61683453
WA
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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