Individual
LAURIE GUTMANN
Active
Individual
LAURIE GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
01084848A
IN
2084N0400X
Neurology Physician
Primary
01084848A
IN
2084N0400X
Neurology Physician
17323
WV
2084N0600X
Clinical Neurophysiology Physician
01084848A
IN
2084N0600X
Clinical Neurophysiology Physician
41107
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090112000
—
WV
01
—
262210055
MEDICARE PTAN
IN
05
—
300043692
—
IN
01
—
Q00187567
RAILROAD PTAN
IN
Enumeration date
09/25/2006
Last updated
03/12/2025
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