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Individual

JEFFREY H LAUTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25301 EUCLID AVE, EUCLID, OH 44117-2609
(216) 261-6263
Mailing address
25301 EUCLID AVE, EUCLID, OH 44117-2609
(216) 261-6263

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-057671
OH
207RN0300X
Nephrology Physician
35-057671
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0729822
OH
Enumeration date
08/20/2006
Last updated
05/15/2008
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