Individual
DAVID M. LAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 428-2586
(360) 428-6470
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00029428
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073790
—
WA
01
—
309605
LABOR & INDUSTRIES
WA
Enumeration date
11/02/2006
Last updated
06/12/2014
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