David Lautz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24564 Issued in WI

Practice address

4855 S Moorland Rd
Suite 150
New Berlin, WI 53151-7401

Phone

(414) 425-5660

Fax

(414) 425-9803

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dlautz7738@direct.chw.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1265426464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W. WISCONSIN AVENUE",
            "address_2": "MAIL STATION 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD",
            "address_2": "SUITE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517401",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTZ",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "24564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30546800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lang, O.D.
• Ryan Robert Lang, O.D.
• Laura L Lange, OTR
• Heidi A Larosa, PT
• Margaret Hope Latendresse
• Janet Marilyn Lawrence, P.T.
• Harry Ford Laws II, MD
• Erin K Leege, PA-C
• H Chapman Leffingwell, O.D.
• Frances R Lenhof, MSOTR

• Pediatrics Physician in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Pediatrics Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.