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General NPI Number Information
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NPI Number | 1982236105
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH LAUTH MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 4800 SAND POINT WAY NE
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City | SEATTLE
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State | WA
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Zip | 98105-3901
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Country | US
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Telephone | 206-987-2000
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Fax |
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Provider Business Mailing Address
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Address Line | NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
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City | SAN DIEGO
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State | CA
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Zip | 92134-5000
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Country | US
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Telephone | 760-522-8257
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0066909
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | MD61677331
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License Number State | WA
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