Lauder, Patricio L
Lauder, Patricio L is an sole proprietor health care provider with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lauder, Patricio L can be contacted via phone (408) 500-1186.Contact Information
Primary practice address
975 S Fairmont Ave
Lodi CA 95240-5118
Phone: (408) 500-1186
Fax: (408) 847-1460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A64160 | California |
Profile Details
NPI number | 1194751537 |
---|---|
LBN Legal business name | Lauder, Patricio L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2006 |
Last updated | Jul 8th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194751537 | NPPES |
California | MEDICAID | 00A641601 |
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