Jean A Lauterbach PA-C

NPI 1396852844 - Physician Assistant - 363A00000X

NPI Details
NPI 1396852844
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/26/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2239 S 108TH ST
WEST ALLIS WI, 53227-1107, US
Phone (414) 541-2772
Fax (414) 541-2728
Business Location
2239 S 108TH ST
WEST ALLIS WI, 53227-1107, US
Phone (414) 541-2772
Fax (414) 541-2728
Toxanomy
Taxonomy Code 363A00000X
License State Wisconsin
License Number 186-023
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According to our database, Ms. Jean A Lauterbach PA-C NPI is 1396852844, taxonomy code is 363A00000X and license number is 186-023, license state is located at Wisconsin. Jean A Lauterbach PA-C physically located at 2239 S 108th St, West Allis WI, 53227-1107. NPI Number Jean A Lauterbach PA-C has the Individual type.

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1396852844 NPI number is provided on an as is basis without warranty of any kind. 1396852844 is maintained by the National Plan & Provider Enumeration System. The contents of Jean A Lauterbach PA-C are for informational purposes only.