Jean A Lauterbach, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

186-023 Issued in WI

Practice address

2239 S 108TH St
West Allis, WI 53227-1107

Phone

(414) 541-2772

Fax

(414) 541-2728

NPI assigned

Aug 23, 2006

Sex

Female

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1396852844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271107",
            "telephone_number": "414-541-2772",
            "fax_number": "414-541-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S 108TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271107",
            "telephone_number": "414-541-2772",
            "fax_number": "414-541-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "186-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42931100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerry Christopher Lau, PHARMD
• Jennifer Lauer
• Mariah Laughlin
• Lauren S. Lopez MD SC
• Thomas Lausten
• Walter Laux
• Charles F Lawler, MSW, LMFT
• Hilary Ann Lawson
• Karen N Layde, NP
• David S Lee, MD

• Physician Assistant in West Allis, WI
• Providers in West Allis, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.