Individual
EMILY LAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N BELLWOOD DR, EAST ALTON, IL 62024-2038
(618) 258-0028
Mailing address
321 N BELLWOOD DR, EAST ALTON, IL 62024-2038
(618) 971-3222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019036157
IL
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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