| Doctor Name: | LAURA K BONEBRAKE |
| NPI Number: | 1043417892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 39532 |
| Business Practice Address: | 9450 Manchester Rd Ste 206 Saint Louis, MO - 631191452 |
| Business Phone Number: | 3147259300 |
| Business Fax Number: | 3147254662 |
| Mailing Address: | 670 Mason Ridge Center Dr, Ste 300 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631418573 |
| Phone Number: | 3147259300 |
| Fax Number: | 3147254662 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 05/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 39532 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |