Provider Demographics
NPI:1548259740
Name:LAUGEN, ROBERT HENRY (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:HENRY
Last Name:LAUGEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3868
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3868
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12615 E MISSION AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1047
Practice Address - Country:US
Practice Address - Phone:509-228-1200
Practice Address - Fax:509-252-9300
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016539207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000010140038OtherBLUE SHIELD OF IDAHO
K4752OtherBLUE CROSS OF IDAHO
110050987OtherRAILROAD MEDICARE
7633LAOtherASURIS NW HEALTH
ID003217200Medicaid
4021022OtherAETNA
WA1557008Medicaid
VI37315OtherLABOR & INDUSTRIES
ID003217200Medicaid
G000358402Medicare PIN