Individual
JOHN LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W LINCOLN AVE STE 200, CHARLESTON, IL 61920-2468
(217) 238-4042
(217) 238-4053
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-084248
IL
2084P0805X
Geriatric Psychiatry Physician
036-084248
IL
Other
Enumeration date
08/22/2006
Last updated
09/18/2024
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