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NPI Code Detail

MEDICARE: DAVID WALTER LAUER DC

MEDICARE:   DAVID WALTER LAUER  DC
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
1111N00000XChiropractor842NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209675OTHERBCBS

General Provider Information

NPI Number : 1215971122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WALTER LAUER DC
Provider Business Mailing Address
First Line : 6132 HAVELOCK AVE
Second Line : SUITE A
City : LINCOLN
State : NE
Zip : 68507
Country : US
Telephone Number : 402-467-5143
Fax Number : 402-467-5145
Provider Business Practice Location Address
First Line : 6132 HAVELOCK AVE
Second Line : SUITE A
City : LINCOLN
State : NE
Zip : 68507
Country : US
Telephone Number : 402-467-5143
Fax Number : 402-467-5145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 10/02/2012

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Directions to “ DAVID WALTER LAUER DC” Practice Location

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