Alisha Marie Lautsch
Physician Assistant in East Northport, NY. Individual provider (NPI-1).
NPI number1164093639
StatusActive
Last updated in NPPESJul 6, 2021
Details
- NPI
- 1164093639
- Entity type
- Individual (NPI-1)
- Name
- Alisha Marie Lautsch
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2021
- Certification date
- Jul 6, 2021
- Last updated
- Jul 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
297 Town Line RdEast Northport, NY 11731-5502
Phone 631-223-6636
Mailing address
297 Town Line RdEast Northport, NY 11731-5502
Phone 631-223-6636
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Other Physician Assistant providers in East Northport, NY
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- Juliet CostaNPI 1962343202
- Jesse KatzNPI 1477001287
- Dina Marie RiveraNPI 1245609338
- Richard Thailer, PA-CNPI 1023651643
- Kieran Weaver, PA-CNPI 1629927330
All 8 Physician Assistant providers in East Northport · All 619 providers in East Northport
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