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Individual

BRIAN LAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
275 W BASSETT RD STE 3, SHELBYVILLE, IN 46176-8575
(317) 421-3265
(317) 398-1872
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02005782A
IN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
02005782A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300064855
IN
Enumeration date
05/02/2018
Last updated
08/08/2024
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