Individual
WILLIAM J LAUTENSCHLEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Mailing address
1910 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 382-9820
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704321447
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704321447
—
MI
Enumeration date
08/28/2019
Last updated
08/28/2019
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