Individual
JONATHAN LAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 W BIG BEAVER RD STE 200, TROY, MI 48084-3545
(248) 205-3535
(248) 649-5920
Mailing address
1800 W BIG BEAVER RD STE 200, TROY, MI 48084-3545
(248) 205-3535
(248) 649-5920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301092841
MI
Other
Enumeration date
07/10/2008
Last updated
06/03/2021
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