MEDICARE: DR. WILLIAM JOHN 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	207RC0000X	Cardiovascular Disease Physician	MD060756L	PA

General Provider Information

NPI Number	:	1639170582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM JOHN LAUER MD

Provider Business Mailing Address
First Line	:	2602 WILMINGTON RD
Second Line	:	SUITE 200
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1537
Country	:	US
Telephone Number	:	724-657-3204
Fax Number	:	724-652-7144

Provider Business Practice Location Address
First Line	:	2602 WILMINGTON RD
Second Line	:	SUITE 200
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1537
Country	:	US
Telephone Number	:	724-657-3204
Fax Number	:	724-652-7144

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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