Individual
LYNETTE MAUTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY., NEW ORLEANS, LA 70121
(504) 842-4000
Mailing address
1514 JEFFERSON HWY., NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN082973
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124258
—
MS
05
—
1437778
—
LA
Enumeration date
10/05/2006
Last updated
12/12/2007
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