Individual
MICHAEL THOMAS LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3655 E GRANT RD, TUCSON, AZ 85716-2933
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011184
AZ
122300000X
Dentist
DD4882
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31501281
—
NM
Enumeration date
05/21/2018
Last updated
03/04/2025
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