Individual
KARL JOHN LAUTERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
588 E LAKEWOOD BLVD, HOLLAND, MI 49424-2023
(616) 494-5800
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301099093
MI
Other
Enumeration date
07/29/2011
Last updated
07/02/2024
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