Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 25MA03922400 | NJ |
Y | 111NI0900X | Internist | 25MA03922400 | NJ |
N | 207RA0401X | Internist - Addiction Medicine | 25MA03922400 | NJ |
NPI | 1306800859 |
---|---|
Provider Name | Dr. Marshall Francis Lauer |
First Address | Cherry Hill, NJ 08034-2229 |
Second Address | Collingswood, NJ 08108-1330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 11/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3121287P | CIGNA (01) | NJ |
381020 | MEDICARE GROUP (01) | NJ |
C54261 | (02) | NJ |