Lautenbach, Julie A
Lautenbach, Julie A is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lautenbach, Julie A can be contacted via phone (641) 628-3832.Contact Information
Primary practice address
405 Monroe St
Pella IA 50219-1189
Phone: (641) 628-3832
Fax: (641) 621-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001511 | Iowa |
Profile Details
| NPI number | 1518930338 |
|---|---|
| LBN Legal business name | Lautenbach, Julie A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 20th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518930338 | NPPES |
| Iowa | Other | 71188 | WELLMARK |
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