Provider Demographics
NPI:1538267554
Name:AKERSON, LAURA JOANNE (DC)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JOANNE
Last Name:AKERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:JOANNE
Other - Last Name:SCHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:112 JANET TRL
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:MO
Mailing Address - Zip Code:63461-1852
Mailing Address - Country:US
Mailing Address - Phone:573-822-0802
Mailing Address - Fax:
Practice Address - Street 1:112 JANET TRL
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:MO
Practice Address - Zip Code:63461-1852
Practice Address - Country:US
Practice Address - Phone:573-822-0802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003017484111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO197478OtherBCBS
MO568069OtherHEALTHLINK
MO655738OtherACN GROUP
MO756097812Medicaid
MOP00285953OtherRAILROAD MEDICARE