Provider Demographics
NPI:1568727626
Name:COVERT, LAURA MICHELLE (DO)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:COVERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1203 SMIZER MILL RD
Mailing Address - Street 2:STE 105
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-3483
Mailing Address - Country:US
Mailing Address - Phone:636-717-1350
Mailing Address - Fax:636-717-1355
Practice Address - Street 1:1203 SMIZER MILL RD
Practice Address - Street 2:STE 105
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-3483
Practice Address - Country:US
Practice Address - Phone:636-717-1350
Practice Address - Fax:636-717-1355
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2015-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2015010864207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine