Provider Demographics
NPI:1194017228
Name:MUELLER, LAURA D (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:D
Last Name:MUELLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:DONNELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3844 S LINDBERGH BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1387
Mailing Address - Country:US
Mailing Address - Phone:314-525-0420
Mailing Address - Fax:
Practice Address - Street 1:3844 S LINDBERGH BLVD STE 210
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1387
Practice Address - Country:US
Practice Address - Phone:314-525-0420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015007398207V00000X
MO2011017848207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology