Provider Demographics
NPI:1194850974
Name:LAUER, CARRIE R (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:R
Last Name:LAUER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:40 BERKSHIRE CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1224
Mailing Address - Country:US
Mailing Address - Phone:610-374-7400
Mailing Address - Fax:610-374-4252
Practice Address - Street 1:40 BERKSHIRE CT
Practice Address - Street 2:SUITE 1
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1224
Practice Address - Country:US
Practice Address - Phone:610-374-7400
Practice Address - Fax:610-374-4252
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2016-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA053480363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant