Individual
DR. JEREMY L LAUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1277 HUDSON ST, DUPONT, WA 98327-8752
(253) 964-0991
Mailing address
1277 HUDSON ST, DUPONT, WA 98327-8752
(253) 964-0991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 60012326
WA
Other
Enumeration date
08/16/2009
Last updated
08/16/2009
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