MEDICARE: ANNE LAUVER

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1881019941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE LAUVER

Provider Business Mailing Address
First Line	:	115 COLUMBIA AVE
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-4149
Country	:	US
Telephone Number	:	415-473-4182
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 COLUMBIA AVE
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-4149
Country	:	US
Telephone Number	:	415-473-4182
Fax Number	:

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

Provider Enumeration Date	:	02/26/2014
Last Update Date	:	02/26/2014

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Directions to “ ANNE LAUVER ” Practice Location

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