Lauterbach, Jean A

Lauterbach, Jean A is an individual health care provider with primary practice located at 2239 S 108Th St , West Allis WI 53227-1107. 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. Lauterbach, Jean A can be contacted via phone (414) 541-2772.

Contact Information

Primary practice address
2239 S 108Th St West Allis WI 53227-1107
Phone: (414) 541-2772
Fax: (414) 541-2728
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 186-023 Wisconsin

Profile Details

NPI number 1396852844
LBN Legal business name Lauterbach, Jean A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 26th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396852844 NPPES
Wisconsin MEDICAID 42931100

Popular Providers