Provider Demographics
NPI:1427001767
Name:LAUER, ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:LAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:76 CAMPANELLI INDUSTRIAL DR
Mailing Address - Street 2:ASSOCIATES IN NEPHROLOGY
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-1818
Mailing Address - Country:US
Mailing Address - Phone:508-587-0700
Mailing Address - Fax:508-587-0287
Practice Address - Street 1:76 CAMPANELLI INDUSTRIAL DR
Practice Address - Street 2:ASSOCIATES IN NEPHROLOGY
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1818
Practice Address - Country:US
Practice Address - Phone:508-587-0700
Practice Address - Fax:508-587-0287
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57133207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA390003110OtherRAILROAD MEDICARE
MA3016650Medicaid
MA057133OtherTUFTS
MAB20436201OtherCIGNA
MA000000005513OtherHEALTH PLAN NET
MA6432OtherHARVARD PILGRIM
MA0011065OtherNEIGHBORHOOD HEALTH PLAN
MA0597919OtherAETNA
MAJ06001OtherBLUE CROSS/BLUE SHIELD
MA31-02001OtherUNITED HEALTHCARE
MAB20436201OtherCIGNA