Provider Demographics
NPI:1912098997
Name:SCHAUER, LORA L (MD)
Entity Type:Individual
Prefix:DR
First Name:LORA
Middle Name:L
Last Name:SCHAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LORA
Other - Middle Name:L
Other - Last Name:PAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 802843
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-2843
Mailing Address - Country:US
Mailing Address - Phone:417-730-6430
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:1000 E PRIMROSE ST STE 170
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5192
Practice Address - Country:US
Practice Address - Phone:417-269-9812
Practice Address - Fax:417-269-2129
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111315208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208533604Medicaid
MO208533604Medicaid