Individual
LAUREN KATHLEEN RUTILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 942-0551
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004749A
IN
207P00000X
Emergency Medicine Physician
036.139089
IL
Other
Enumeration date
02/24/2012
Last updated
01/05/2021
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