Provider Demographics
NPI:1104091958
Name:LAUER CHIROPRACTIC PC
Entity type:Organization
Organization Name:LAUER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, DC, RN
Authorized Official - Phone:636-940-2226
Mailing Address - Street 1:2241 BLUESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6705
Mailing Address - Country:US
Mailing Address - Phone:636-940-2226
Mailing Address - Fax:636-940-9990
Practice Address - Street 1:2241 BLUESTONE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6705
Practice Address - Country:US
Practice Address - Phone:636-940-2226
Practice Address - Fax:636-940-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE005458261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000031238OtherMEDICARE NUMBER
MO000031238OtherMEDICARE NUMBER