Basic Information
Provider Information
NPI: 1295946218
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LAUX
FirstName: DOUGLAS
MiddleName: EARL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562148
FaxNumber: 3193568383
Practice Location
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562148
FaxNumber: 3193568383
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 10/14/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X57010749OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003X2011021600MON Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RH0003XMD-37888IAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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