Individual
DANIEL LAUTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(567) 408-2002
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(567) 408-2002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301501571
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
09/15/2021
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