MEDICARE: ROBERT HENRY LAUGEN M.D.

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	207RH0003X	Hematology & Oncology Physician	MD00016539	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110050987	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010140038	OTHER		BLUE SHIELD OF IDAHO
2	K4752	OTHER		BLUE CROSS OF IDAHO
4	7633LA	OTHER		ASURIS NW HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	4021022	OTHER		AETNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	37315	OTHER	VI	LABOR & INDUSTRIES

General Provider Information

NPI Number	:	1548259740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT HENRY LAUGEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3868
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99220-3868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12615 E MISSION AVE
Second Line	:	SUITE 200
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1047
Country	:	US
Telephone Number	:	509-228-1200
Fax Number	:	509-252-9300

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	01/03/2012

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Directions to “ ROBERT HENRY LAUGEN M.D.” Practice Location

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