Provider Demographics
NPI:1417621731
Name:LUETH, LAUREN MIKAYLAH (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MIKAYLAH
Last Name:LUETH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MIKAYLAH
Other - Last Name:RHODELANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17111 CERRITO DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-2815
Mailing Address - Country:US
Mailing Address - Phone:816-207-7887
Mailing Address - Fax:
Practice Address - Street 1:4025 NE LAKEWOOD WAY STE 100
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2058
Practice Address - Country:US
Practice Address - Phone:816-598-4363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021029280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor