Provider Demographics
NPI:1801985189
Name:LAUGER, ROSS WILLIAM (FNP)
Entity type:Individual
Prefix:
First Name:ROSS
Middle Name:WILLIAM
Last Name:LAUGER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9267 GREENBACK LN
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:ORANGEVALE
Mailing Address - State:CA
Mailing Address - Zip Code:95662-4863
Mailing Address - Country:US
Mailing Address - Phone:916-539-1449
Mailing Address - Fax:888-990-1397
Practice Address - Street 1:9267 GREENBACK LN
Practice Address - Street 2:SUITE C-2
Practice Address - City:ORANGEVALE
Practice Address - State:CA
Practice Address - Zip Code:95662-4863
Practice Address - Country:US
Practice Address - Phone:916-539-1449
Practice Address - Fax:888-990-1397
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA444430363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAS44893Medicare UPIN