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Individual

DR. KATHERINE LAUTERBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1642 W BELMONT AVE, CHICAGO, IL 60657-3018
(773) 472-1200
(773) 472-1661
Mailing address
716 MICHIGAN AVE, EVANSTON, IL 60202-2512
(847) 869-9950
(847) 869-4637

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017877
IL

Other

Enumeration date
05/23/2005
Last updated
07/08/2007
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