Provider Demographics
NPI:1336103274
Name:LAUVER, JOHN W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:LAUVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8614
Mailing Address - Fax:803-296-3076
Practice Address - Street 1:1519 MARION ST
Practice Address - Street 2:PITTS RADIOLOGY
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2910
Practice Address - Country:US
Practice Address - Phone:803-296-5513
Practice Address - Fax:803-296-3076
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC89282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8928OtherMEDICAL LICENSE
SC187705Medicaid
SC187705Medicaid