Provider Demographics
NPI:1558497255
Name:LAUCHER, KEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:LAUCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5328 IVAN DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3334
Mailing Address - Country:US
Mailing Address - Phone:517-886-5586
Mailing Address - Fax:
Practice Address - Street 1:5328 IVAN DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3334
Practice Address - Country:US
Practice Address - Phone:517-886-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007471111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1008253OtherMCLAUREN HEALTH ADV
MI200000002275OtherGLOBAL CARE
MI433387514Medicaid
MI9570B350360OtherBCBS
MI4400262OtherUNITED HEALTH CARE
MI0N31660Medicare PIN
MI1008253OtherMCLAUREN HEALTH ADV