Doctor Name: | ROBBIE S LAUTER |
NPI Number: | 1023089208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 205164 |
Business Practice Address: | 230 Maple St Holyoke, MA - 010405124 |
Business Phone Number: | 4134202200 |
Business Fax Number: | 4134202260 |
Mailing Address: | Po Box 6260, 230 Maple St HOLYOKE |
State: | MA |
Postal Code: | 010416260 |
Phone Number: | 4134202200 |
Fax Number: | 4134202260 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 10/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 205164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |