WALTER D LAUDER

CLEARWATER, FL
NPI1811932031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3187)
Enumeration Date2006-06-19
Last Update Date2007-10-22
Business Address
-- WALTER D LAUDER PAC
300 PINELLAS ST
CLEARWATER, FL 33756-3804
Phone number: 727-461-8537
Mailing Address
-- WALTER D LAUDER PAC
PO BOX 850001
ORLANDO, FL 32885-0299
Phone number: 904-482-1070