Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01049127A | IN |
N | 111NI0900X | Internist | 01049127A | IN |
Y | 207RC0000X | Internist - Cardiovascular Disease | 01049127A | IN |
NPI | 1013986124 |
---|---|
Provider Name | Joseph E Lauer |
First Address | Indianapolis, IN 46260-1992 |
Second Address | Indianapolis, IN 46260-1992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060069096 | RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES (01) | IN |
200328350 | (05) | IN |
H34841 | (02) | IN |