Individual
CARL LAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD STE 605, ROYAL OAK, MI 48073-6770
(248) 551-0495
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301027068
MI
207R00000X
Internal Medicine Physician
4301027068
MI
207RI0200X
Infectious Disease Physician
4301027068
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342253
—
MI
01
—
440F361390
BCBSM
MI
Enumeration date
03/25/2006
Last updated
08/02/2023
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