Provider Demographics
NPI:1265522684
Name:LAUERMANN, MICHAEL WELING (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WELING
Last Name:LAUERMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16835 ALGONQUIN ST
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3810
Mailing Address - Country:US
Mailing Address - Phone:714-943-1372
Mailing Address - Fax:562-799-9300
Practice Address - Street 1:10941 BLOOMFIELD ST
Practice Address - Street 2:SUITE A.
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-2530
Practice Address - Country:US
Practice Address - Phone:562-799-9500
Practice Address - Fax:562-799-9300
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25668207RI0200X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW20716OtherMEDICARE ID-TYPE UNSPECIFIED
CAW20716OtherMEDICARE ID-TYPE UNSPECIFIED