Healthcare Provider Details
I. General information
NPI: 1992764120
Provider Name (Legal Business Name): KAREN B LAUER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/17/2006
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 EAST NORTH AVE STE 116
PITTSBURGH PA
15212
US
IV. Provider business mailing address
420 EAST NORTH AVE STE 116
PITTSBURGH PA
15212
US
V. Phone/Fax
- Phone: 412-359-6300
- Fax: 412-359-6768
- Phone: 412-359-6300
- Fax: 412-359-6768
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD039079E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: