Lautin, Jeffrey L.

Lautin, Jeffrey L. is an individual health care provider with primary practice located at 741 Northfield Ave Suite 105, West Orange NJ 07052-1174. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lautin, Jeffrey L. can be contacted via phone (973) 243-9729.

Contact Information

Primary practice address
741 Northfield Ave Suite 105 West Orange NJ 07052-1174
Phone: (973) 243-9729
Fax: (973) 243-9674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1764691 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 1764691 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA07034700 New Jersey

Profile Details

NPI number 1689629875
LBN Legal business name Lautin, Jeffrey L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 26th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689629875 NPPES
New Jersey MEDICAID 8163901

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