Ebbing Lautenbach, MD
Internal Medicine, Infectious Disease in Philadelphia, PA. Individual provider (NPI-1).
NPI number1649200767
StatusActive
Last updated in NPPESJan 3, 2013
Details
- NPI
- 1649200767
- Entity type
- Individual (NPI-1)
- Name
- Ebbing Lautenbach
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Jan 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | MD056932L | PA | Yes |
Practice location
3400 Spruce StreetPhiladelphia, PA 19104
Phone 215-662-6932 · Fax 215-662-7899
Mailing address
3400 Spruce StreetPhiladelphia, PA 19104
Phone 215-662-6932
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