Individual
DR. MICHAEL R LAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6100 RONALD REAGAN BLVD., LAKE ST. LOUIS, MO 63367
(636) 625-2143
(636) 625-2148
Mailing address
6100 RONALD REAGAN BLVD., LAKE ST. LOUIS, MO 63367
(636) 625-2143
(636) 625-2148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2004016783
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
317192508
—
MO
Enumeration date
02/07/2006
Last updated
12/11/2008
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