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Individual

JEFFREY M LAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 SEYMOUR ST, SUITE 900, HARTFORD, CT 06106
(860) 241-0700
(860) 525-7881
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067
(860) 258-3470
(860) 571-6800

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028782
CT
207RN0300X
Nephrology Physician
Primary
028782
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00128782101
CT
Enumeration date
09/22/2006
Last updated
06/28/2010
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