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Individual

LAWERENCE LAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
98 MEDICAL DRIVE, HANNIBAL, MO 63401
(573) 406-1301
(573) 406-0511
Mailing address
PO BOX 511, HANNIBAL, MO 63401-0511
(573) 406-1301
(573) 406-0511

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2003019806
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
619521
HEALTHLINK
MO
05
919113902
MO
Enumeration date
07/08/2005
Last updated
03/05/2014
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