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NPI Code Detail

MEDICARE: MS. KATHERINE LYNN LAUTZENHEISER LCSWA

MEDICARE: MS. KATHERINE LYNN LAUTZENHEISER LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP023143NC
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1184984866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE LYNN LAUTZENHEISER LCSWA
Provider Business Mailing Address
First Line : 1205 S MAIN ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5762
Country : US
Telephone Number : 336-684-9951
Fax Number :
Provider Business Practice Location Address
First Line : 1205 S MAIN ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5762
Country : US
Telephone Number : 336-684-9951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2012
Last Update Date : 03/09/2026

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