Individual
MR. ERIC CLYDE LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
4700 POINT FOSDICK DR STE 202, GIG HARBOR, WA 98335-1706
(253) 858-9192
(253) 426-6344
Mailing address
4700 POINT FOSDICK DR STE 202, GIG HARBOR, WA 98335-1706
(253) 858-9192
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP60732647
WA
363AM0700X
Medical Physician Assistant
PA3006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022720
—
WA
Enumeration date
07/13/2006
Last updated
12/07/2020
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