Provider Demographics
NPI:1003880972
Name:LAUER, DONALD H (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:H
Last Name:LAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-0989
Mailing Address - Country:US
Mailing Address - Phone:317-881-9797
Mailing Address - Fax:317-881-4156
Practice Address - Street 1:1250 E COUNTY LINE RD
Practice Address - Street 2:SUITE 9
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-0989
Practice Address - Country:US
Practice Address - Phone:317-881-9797
Practice Address - Fax:317-881-4156
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01023926A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN132440FMedicare PIN
INM400045964Medicare PIN
IN214370EMedicare PIN
INC24969Medicare UPIN
IN080132417Medicare PIN