Provider Demographics
NPI:1801031349
Name:PETER H. LAUBER, PH.D.,P.C.
Entity Type:Organization
Organization Name:PETER H. LAUBER, PH.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:HERMANN
Authorized Official - Last Name:LAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:517-575-0771
Mailing Address - Street 1:5735 WESTMINSTER WAY
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7730
Mailing Address - Country:US
Mailing Address - Phone:517-575-0771
Mailing Address - Fax:
Practice Address - Street 1:5735 WESTMINSTER WAY
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7730
Practice Address - Country:US
Practice Address - Phone:517-575-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010009731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty