MEDICARE: DR. MEEGHAN A LAUTNER MD

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
1	208600000X	Surgery Physician	74404	WI
2	2086X0206X	Surgical Oncology Physician	286863	NY
3	2086X0206X	Surgical Oncology Physician	74404	WI

General Provider Information

NPI Number	:	1477736478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEEGHAN A LAUTNER MD

Provider Business Mailing Address
First Line	:	7974 UW HEALTH CT
Second Line	:
City	:	MIDDLETON
State	:	WI
Zip	:	53562-5531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HIGHLAND AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53792-2591
Country	:	US
Telephone Number	:	608-266-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	03/18/2021

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