Individual
MR. JOHN LAUTERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4401 BUSINESS PARK BLVD, SUITE 24, ANCHORAGE, AK 99503-7117
(907) 242-3801
(907) 646-9784
Mailing address
PO BOX 243461, ANCHORAGE, AK 99524-3461
(907) 242-3801
(907) 646-9784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
178
AK
1041C0700X
Clinical Social Worker
989425
CO
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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