Healthcare Provider Details

I. General information

NPI: 1457347395
Provider Name (Legal Business Name): ERIC PAUL LAUNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 11/20/2015
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 04/07/2006

III. Provider practice location address

206 CASS AVE
WOONSOCKET RI
02895-4712
US

IV. Provider business mailing address

206 CASS AVE
WOONSOCKET RI
02895-4712
US

V. Phone/Fax

Practice location:
  • Phone: 401-769-4100
  • Fax:
Mailing address:
  • Phone: 401-769-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number053636
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberMD11020
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: