Lautz, David
Lautz, David is an individual health care provider with primary practice located at 4855 S Moorland Rd Suite 150, New Berlin WI 53151-7401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lautz, David can be contacted via phone (414) 425-5660.Contact Information
Primary practice address
4855 S Moorland Rd Suite 150
New Berlin WI 53151-7401
Phone: (414) 425-5660
Fax: (414) 425-9803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24564 | Wisconsin |
Profile Details
| NPI number | 1265426464 |
|---|---|
| LBN Legal business name | Lautz, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Aug 29th, 2016 - about 9 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 | 1265426464 | NPPES |
| Wisconsin | MEDICAID | 30546800 |
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