Organization
THEODORE R. LIAUTAUD
Active
Other names
Lakes Counseling & Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE R. LIAUTAUD DO (OWNER)
(712) 657-2211
Entity
Organization
Contact information
Practice address
421 E SHORE DR, LAKE VIEW, IA 51450
(712) 657-2211
(712) 657-2106
Mailing address
PO BOX 710, 421 E SHORE DR, LAKE VIEW, IA 51450
(712) 657-2211
(712) 657-2106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01790
IA
2084P0800X
Psychiatry Physician
01790
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287888
—
IA
Enumeration date
03/20/2007
Last updated
09/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us