Provider Demographics
NPI:1053352146
Name:LAUER, RICHARD C (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:LAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:933 BRADBURY SE,
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106
Mailing Address - Country:US
Mailing Address - Phone:505-272-3120
Mailing Address - Fax:505-272-8060
Practice Address - Street 1:1201 CAMINO DE SALUD NE
Practice Address - Street 2:UNM CANCER CENTER
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-272-4946
Practice Address - Fax:505-272-8060
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2013-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2007-0130207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM001E14OtherB/CB/S
NM37778358Medicaid
NMD45905Medicare UPIN