Individual
DR. SALLY Z LAUTERJUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3080
Mailing address
4854 ROLLING VIEW DR, AKRON, OH 44333-1630
(330) 607-2932
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-01-9587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34-1806084
FEDERAL TAX ID
OH
Enumeration date
11/17/2006
Last updated
02/19/2024
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