Doctor Name: | JESSICA LAUVER |
NPI Number: | 1205233574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COVT |
License Number: | 111014 |
Business Practice Address: | 20 Lancaster Ave Strasburg, PA - 175791106 |
Business Phone Number: | 7176878228 |
Business Fax Number: | |
Mailing Address: | 20 Lancaster Ave, STRASBURG |
State: | PA |
Postal Code: | 175791106 |
Phone Number: | 7176878228 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2014 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1900X |
License Number: | 111014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Orthoptist |
Taxonomy Definition: |