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Individual
MIKE C. LAUR
Active
Individual
MIKE C. LAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-274
ID
213E00000X
Podiatrist
POD000883
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000855434A
—
GA
05
—
00855434B
—
ID
05
—
00855434C
—
GA
05
—
10051376
—
GA
01
—
2308614
AETNA
GA
01
—
2600040
UNITED HEALTHCARE
GA
01
—
2701696
EVERCARE
GA
05
—
332893
—
GA
Enumeration date
01/25/2006
Last updated
09/12/2022
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