Edward C Lauterbach, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

031056 Issued in GA

Practice address

940 Hwy 96
Warner Robins, GA 31088

Phone

(478) 988-1222

Fax

(478) 988-1106

NPI assigned

Oct 31, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1306922315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COLLEGE STREET",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312071554",
            "telephone_number": "478-301-4111",
            "fax_number": "478-301-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HWY 96",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "EDWARD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "031056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000383908A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260022713",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cicero Latimore, LPC
• Ieshea Apryl Lattimore
• Jaclyn Celeste Lattimore, MASSAGE THERAPIST
• Vilbrune Phara Lauriston, APRN
• Molly Kathryn Lauritsen, PHARMD
• Anjarvius Rashard Lavant, HST
• Sharnika Shar-Ron Lavant
• Elisa Lavender, RBT
• Mariah Lavender
• Sarah Lavoix-Wilson

• Psychiatry Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.