Individual
MICHAEL DAVID LAUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 E 25TH ST APT 228, STERLING, IL 61081-1092
(815) 440-3080
Mailing address
215 E 25TH ST APT 228, STERLING, IL 61081-1092
(815) 440-3080
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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