Provider Demographics
NPI:1912862772
Name:LAUBACH, MARY T
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:T
Last Name:LAUBACH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31312 FALMOUTH WAY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5833
Mailing Address - Country:US
Mailing Address - Phone:410-804-7037
Mailing Address - Fax:
Practice Address - Street 1:34382 CARPENTERS WAY STE 7&8
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4919
Practice Address - Country:US
Practice Address - Phone:302-645-3100
Practice Address - Fax:302-645-3898
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-23
Last Update Date:2025-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty