Provider Demographics
NPI:1639601172
Name:MUELLER, LAUREL ANNE (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:ANNE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:MISS
Other - First Name:LAUREL
Other - Middle Name:ANNE
Other - Last Name:WHITIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO, MPH
Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:1A50A
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-0480
Mailing Address - Fax:202-877-5262
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:1A50A
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-0480
Practice Address - Fax:202-877-5262
Is Sole Proprietor?:No
Enumeration Date:2017-04-03
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A18030207R00000X
390200000X
DCD0210001343207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program