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Individual
OTTO SCOTT LAUTER
Active
Individual
OTTO SCOTT LAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD033013E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010019420003
—
PA
01
—
01540002
CAPITAL BLUE CROSS
PA
01
—
098957
HIGHMARK BLUE SHIELD
PA
01
—
110145783
RAILROAD MEDICARE
PA
01
—
1519248
GATEWAY HEALTH PLAN
PA
01
—
17846 S1QA
GEISINGER HEALTH PLAN
PA
01
—
563495
AETNA HMO
PA
01
—
5900075
AETNA NON-HMO
PA
01
—
B36337
HEALTH ASSURANCE
PA
01
—
P002538
GATEWAY HEALTH PLAN
PA
Enumeration date
10/20/2005
Last updated
08/03/2009
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