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Individual

LANDON LAUBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4911
Mailing address
1700 HOPE BLVD, PLYMOUTH, IN 46563-1253
(574) 555-5555

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
28243465A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
149768
IN

Other

Enumeration date
10/31/2023
Last updated
09/27/2024
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