Individual
DR. JOHN A LAUTENSCHLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4000 JENNINGS STATION RD, SAINT LOUIS, MO 63121-3323
(314) 679-7800
(314) 679-7845
Mailing address
4590 S LINDBERGH BLVD, SAINT LOUIS, MO 63127-1810
(314) 849-7669
(314) 849-7670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31708
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206701302
—
MO
Enumeration date
12/23/2005
Last updated
07/09/2007
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