MEDICARE: AGNES M LAUS 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	208000000X	Pediatrics Physician	35070728L	OH
2	208000000X	Pediatrics Physician	2024044616	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	510450201027	OTHER	CARESOURCE
3	000000323677	OTHER	ANTHEM

General Provider Information

NPI Number	:	1881670974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AGNES M LAUS MD

Provider Business Mailing Address
First Line	:	12680 OLIVE BLVD STE 116
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6322
Country	:	US
Telephone Number	:	314-529-5660
Fax Number	:	314-529-5665

Provider Business Practice Location Address
First Line	:	12680 OLIVE BLVD STE 116
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6322
Country	:	US
Telephone Number	:	314-529-5660
Fax Number	:	314-529-5665

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	04/02/2025

Similar Medicare Providers

1487595088 — MIKAYLA ANNE GALUCIA MD
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax: 314-251-8889

1710828322 — DEBORRAH BLACKBURN
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax:

1467394783 — KATIE ALYN AYRES
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 618-514-8502
Practice Fax:

1023950805 — PRIYA SURESH KANNA MD
Practice Location Address:

12680 OLIVE BLVD STE 300
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8888
Practice Fax:

1891793105 — JOHN E VERNON MD
Practice Location Address:

12680 OLIVE BLVD STE 100
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8900
Practice Fax:

1689665077 — MERCY HEALTH SERVICES, LLC
Practice Location Address:

12680 OLIVE BLVD , SUITE #150
SAINT LOUIS, MO
63141-6322

Practice Phone: 314-251-8989
Practice Fax: 314-251-8988

Directions to “ AGNES M LAUS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.