MEDICARE: JAMES H LAUER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD046303L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477536175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H LAUER MD

Provider Business Mailing Address
First Line	:	137 N STAR ST NW
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-9458
Country	:	US
Telephone Number	:	724-843-4010
Fax Number	:	724-843-8727

Provider Business Practice Location Address
First Line	:	137 N STAR ST NW
Second Line	:
City	:	CARROLLTON
State	:	OH
Zip	:	44615-9458
Country	:	US
Telephone Number	:	724-843-4010
Fax Number	:	724-843-8727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	11/16/2023

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