MEDICARE: DANA LYNN LAUTZENHEISER PHARMD

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	183500000X	Pharmacist	03132071	OH

General Provider Information

NPI Number	:	1699024729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LYNN LAUTZENHEISER PHARMD

Provider Business Mailing Address
First Line	:	610 W AUGLAIZE ST
Second Line	:
City	:	WAPAKONETA
State	:	OH
Zip	:	45895-1410
Country	:	US
Telephone Number	:	419-303-2523
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 FORTMAN DR
Second Line	:
City	:	SAINT MARYS
State	:	OH
Zip	:	45885-1871
Country	:	US
Telephone Number	:	419-394-8930
Fax Number	:	419-394-8885

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

Provider Enumeration Date	:	09/05/2012
Last Update Date	:	06/01/2026

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Directions to “ DANA LYNN LAUTZENHEISER PHARMD” Practice Location

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