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
Fax: (408) 847-1460
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194751537 NPPES
California MEDICAID 00A641601

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