MEDICARE: LAURYN PAULUS PLPC

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	101Y00000X	Counselor	2025053944	MO

General Provider Information

NPI Number	:	1780541490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURYN PAULUS PLPC

Provider Business Mailing Address
First Line	:	801 NW SAINT MARY DR STE 102
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-427-1337
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 NW SAINT MARY DR STE 102
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-427-1337
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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