Provider Demographics
NPI:1124269790
Name:LAUFER, MICHELLE BARTON (MD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:BARTON
Last Name:LAUFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:LAUFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4001 DALE ST
Mailing Address - Street 2:SUITE 213
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-562-2944
Mailing Address - Fax:907-562-6321
Practice Address - Street 1:2211 E NORTHERN LIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4129
Practice Address - Country:US
Practice Address - Phone:907-279-8486
Practice Address - Fax:907-677-5614
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4696208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1014604Medicaid
AKMD4668Medicaid