Lautenbach, Denise K
Lautenbach, Denise K is an individual health care provider with primary practice located at 194 South Ave , New Canaan CT 06840-5728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Lautenbach, Denise K can be contacted via phone (203) 966-8079.Contact Information
Primary practice address
194 South Ave
New Canaan CT 06840-5728
Phone: (203) 966-8079
Fax: (203) 966-8223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 039966 | Connecticut |
Profile Details
| NPI number | 1174620694 |
|---|---|
| LBN Legal business name | Lautenbach, Denise K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2006 |
| Last updated | Jan 7th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174620694 | NPPES |
| Connecticut | MEDICAID | 004187466 |
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