Provider Demographics
NPI:1588004451
Name:LAUGLE, MICHELLE REN (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:REN
Last Name:LAUGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:HUAN
Other - Last Name:REN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8020 LIBERTY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2519
Mailing Address - Country:US
Mailing Address - Phone:513-246-7016
Mailing Address - Fax:513-777-0341
Practice Address - Street 1:8020 LIBERTY WAY
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2519
Practice Address - Country:US
Practice Address - Phone:513-246-7016
Practice Address - Fax:513-777-0341
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35126653390200000X
OH35.126653207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program