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NPI Code Detail

MEDICARE: LAUER CHIROPRACTIC PC

MEDICARE: LAUER CHIROPRACTIC PC
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
1261Q00000XClinic/CenterCE005458MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000031238OTHERMOMEDICARE NUMBER

General Provider Information

NPI Number : 1104091958
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUER CHIROPRACTIC PC
Provider Business Mailing Address
First Line : 2241 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-940-2226
Fax Number : 636-940-9990
Provider Business Practice Location Address
First Line : 2241 BLUESTONE DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-6705
Country : US
Telephone Number : 636-940-2226
Fax Number : 636-940-9990
Authorized Official
Title or Position : DC
Name : DR. ESTHER LAUER
Credential : PHD, DC, RN
Telephone Number : 636-940-2226
Provider Enumeration Date : 04/23/2008
Last Update Date : 09/24/2012

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Directions to “LAUER CHIROPRACTIC PC ” Practice Location

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