Laser behavior requires something called a "population inversion." In other words, you need to somehow pump a medium with energy in such a way to create an abnormally large population of energized atoms. When a single photon of light comes near one of these excited atoms, it stimulates it to release its energy in a coherent fashion, and the strength of the light beam grows. This is why lasers are so named: light amplification by stimulated emission of radiation.
In order to have a "sound laser," you would need some medium which can emit sound, and can be pumped with energy in such a way to be excited, ready to produce sound. You'd also need this medium to respond to a passing mechanical vibration by releasing its excited-state energy in a coherent fashion.
The only media I can think of that would be a decent place to start would be the pezioelectric crystals. These crystals flex when a voltage is applied across them. Electricity could be used to pump the medium, while the release of flexure would produce sound. One problem is that most pezioelectric crystals have resonant frequencies far, far, far too large to be heard. Stimulated emission may be performed by simple resonance -- when one crystal of an identical pair vibrates, it will induce a similar vibration on the other.
I wouldn't write off a "sound laser" as pure science fiction, but I think it'd be pretty hard to build one. We're lucky with lasers, since we don't actually have to "build" the resonators. We just select gases whose atoms or molecules have the right properties, and we instantly have billions and billions of individual "resonators." To make a "sound laser," though, we'd have to manufacture each resonator to exacting tolerances.
- Warren