Basic Information
| Provider Information | |||||||||
| NPI: | 1962400614 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAUER | ||||||||
| FirstName: | LAWRENCE | ||||||||
| MiddleName: | PAUL | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | LRCP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2695 RUSTIC LN | ||||||||
| Address2: | |||||||||
| City: | HELLERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180553140 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108382695 | ||||||||
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| Practice Location | |||||||||
| Address1: | 185 ROSEBERRY ST | ||||||||
| Address2: | |||||||||
| City: | PHILLIPSBURG | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088651690 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9088596700 | ||||||||
| FaxNumber: | 9088598953 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2278G1100X | 43ZA00428000 | NJ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | General Care |
No ID Information.