Individual
THOMAS A LAUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
255 SUNBRIDGE DR, SALEM, WV 26426-8400
(304) 782-3000
(304) 782-3003
Mailing address
255 SUNBRIDGE DR, SALEM, WV 26426-8400
(304) 782-3000
(304) 782-3003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1433
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010736000
—
WV
Enumeration date
07/18/2006
Last updated
11/12/2013
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