Individual
DAVID S. LAUTERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
180 JUNIPER DR, NORTH KINGSTOWN, RI 02852-4309
(401) 294-1093
Mailing address
180 JUNIPER DR, NORTH KINGSTOWN, RI 02852-4309
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
102930
MA
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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