Individual
JACOB RICHARD LAUTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-5000
Mailing address
23 FRANKLIN PL APT 3, MORRISTOWN, NJ 07960-5304
(503) 866-4529
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25MA12631500
NJ
Other
Enumeration date
04/05/2022
Last updated
06/27/2025
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