Individual
JOLENE CORRINNE LAUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 65TH AVE S APT 312, FARGO, ND 58104-7458
(701) 680-1309
Mailing address
PO BOX 9064, FARGO, ND 58106-9064
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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