Individual
TIMOTHY BERNARD LAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036123218
IL
208600000X
Surgery Physician
125050673
IL
2086S0120X
Pediatric Surgery Physician
Primary
036123218
IL
Other
Enumeration date
08/06/2008
Last updated
08/05/2026
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