Individual
DR. WRIGHT B LAUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 MILLSAPS DR, SUITE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
(601) 255-0735
Mailing address
109 MILLSAPS DR, SUITE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
(601) 255-0735
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21600
MS
207W00000X
Ophthalmology Physician
29277
AL
207W00000X
Ophthalmology Physician
ME109594
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
21600
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07831241
—
MS
05
—
108970
—
AL
01
—
51597161
BLUE CROSS AND BLUE SHIELD OF ALABAMA
AL
Enumeration date
05/27/2008
Last updated
01/25/2021
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