Individual
ASHLEY LAUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3202 E GREENWAY RD, PHOENIX, AZ 85032-4548
(602) 325-5577
Mailing address
3202 E GREENWAY RD, PHOENIX, AZ 85032-4548
(602) 325-5577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
283134
AZ
363L00000X
Nurse Practitioner
6951
MN
363L00000X
Nurse Practitioner
CNP.15677
OH
363LF0000X
Family Nurse Practitioner
COA 15677-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215521
—
OH
Enumeration date
05/01/2014
Last updated
01/27/2023
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