Provider Demographics
NPI:1962562124
Name:LAUER, ESTHER S (DC,PHD,RN)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:S
Last Name:LAUER
Suffix:
Gender:F
Credentials:DC,PHD,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE005458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1004855OtherASHN
MO609454OtherACN GROUP
MO10456X001OtherBCBS
MO6984124004OtherCIGNA(PAL#)
MO44-09200OtherUNITED HEALTHCARE
MO208004OtherHEALTHLINK
MO44-09200OtherUNITED HEALTHCARE
MO000031238Medicare ID - Type Unspecified