Individual
GREGORY LAUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1702 ESPLANADE, CHICO, CA 95926-3315
(530) 898-0500
(530) 898-9647
Mailing address
1720 ESPLANADE, CHICO, CA 95926-3315
(530) 898-0504
(530) 898-9647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
RHL130673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G368310
—
CA
01
—
G36831
MEDICAL LICENSE
CA
Enumeration date
04/07/2006
Last updated
03/07/2023
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