Provider Demographics
NPI:1477840866
Name:LAUER, PAULA ENRICH (MA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:ENRICH
Last Name:LAUER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7322
Mailing Address - Street 2:
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-7322
Mailing Address - Country:US
Mailing Address - Phone:530-581-4054
Mailing Address - Fax:530-583-4282
Practice Address - Street 1:2690 LAKE FOREST ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145
Practice Address - Country:US
Practice Address - Phone:530-581-4054
Practice Address - Fax:530-583-4282
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional