Healthcare Provider Details

I. General information

NPI: 1548357932
Provider Name (Legal Business Name): DAVID M LAUFER CO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WRAMC ROOM 3H 6900 GEORGIA AVE NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

18004 QUEEN ELIZABETH DR
OLNEY MD
20832-2802
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6385
  • Fax:
Mailing address:
  • Phone: 301-570-1159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberCO004440
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: