Individual
DR. LAURA MICHELLE LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2080 CHILD ST NMRTC JACKSONVILLE EMERGENCY DEPARTMENT, JACKSONVILLE, FL 32214-6101
(904) 542-7345
Mailing address
2080 CHILD ST NMRTC JACKSONVILLE EMERGENCY DEPARTMENT, JACKSONVILLE, FL 32214-6101
(904) 542-7345
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202265
VA
208D00000X
General Practice Physician
0102202265
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2007
Last updated
06/01/2021
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