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General NPI Number Information
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NPI Number | 1932535846
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Entity Type | Individual
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Provider Name | ELIZABETH MAURENE LAUTERBACH PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 9211 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-2900
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Country | US
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Telephone | 316-527-4804
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Fax |
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Provider Business Mailing Address
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Address Line | 9211 E 21ST ST N
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City | WICHITA
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State | KS
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Zip | 67206-2900
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Country | US
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Telephone | 316-527-4804
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02729
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License Number State | KS
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