Provider Demographics
NPI:1861504979
Name:LAUER, STEPHEN J (PHD, MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:LAUER
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2106 OLATHE BLVD MS 4004
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-7816
Mailing Address - Country:US
Mailing Address - Phone:913-588-6300
Mailing Address - Fax:
Practice Address - Street 1:7301 MISSION RD STE 350
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-3075
Practice Address - Country:US
Practice Address - Phone:913-588-6300
Practice Address - Fax:913-274-3515
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-29220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS401460OtherFIRSTGUARD
370018898OtherRAILROAD MEDICARE
MO29692019OtherBCBS KANSAS CITY
KS100394770AMedicaid
MO205356306Medicaid