Individual
DYLAN LAUTANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13559 NW 1ST LN, NEWBERRY, FL 32669-3473
(352) 505-6665
Mailing address
13559 NW 1ST LN, NEWBERRY, FL 32669-3473
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA33909
FL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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