Individual
MEGHAN E LAUTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
2530 CAMELOT DR, DYER, IN 46311-2039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004860A
IN
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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