Provider Demographics
NPI:1184454746
Name:LAUER, DEVIN
Entity type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:LAUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEVIN
Other - Middle Name:
Other - Last Name:RENNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4023 ARVILLA RD
Mailing Address - Street 2:
Mailing Address - City:BENS RUN
Mailing Address - State:WV
Mailing Address - Zip Code:26146-7907
Mailing Address - Country:US
Mailing Address - Phone:304-588-4562
Mailing Address - Fax:
Practice Address - Street 1:4023 ARVILLA RD
Practice Address - Street 2:
Practice Address - City:BENS RUN
Practice Address - State:WV
Practice Address - Zip Code:26146-7907
Practice Address - Country:US
Practice Address - Phone:304-588-4562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency