Individual
DENISE K LAUTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
194 SOUTH AVE, NEW CANAAN, CT 06840-5728
(203) 966-8079
(203) 966-8223
Mailing address
761 MAIN AVE, STE 201, NORWALK, CT 06851-1080
(203) 838-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039966
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187466
—
CT
Enumeration date
09/19/2006
Last updated
01/07/2020
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