MEDICARE: DONALD H LAUER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01023926A	IN

General Provider Information

NPI Number	:	1003880972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD H LAUER MD

Provider Business Mailing Address
First Line	:	1250 E COUNTY LINE RD
Second Line	:	SUITE 9
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-0989
Country	:	US
Telephone Number	:	317-881-9797
Fax Number	:	317-881-4156

Provider Business Practice Location Address
First Line	:	1250 E COUNTY LINE RD
Second Line	:	SUITE 9
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46227-0989
Country	:	US
Telephone Number	:	317-881-9797
Fax Number	:	317-881-4156

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	06/16/2011

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