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Tiffani Jordan Lautenslager, MD
Student in an Organized Health Care Education/Training Program in Ellensburg, Washington
NPI 1225725237

Tiffani Jordan Lautenslager is a Student in an Organized Health Care Education/Training Program based in Yakima, WA. Tiffani Jordan Lautenslager practices in Ellensburg, WA and has the professional credentials of MD. The NPI Number for Tiffani Jordan Lautenslager is 1225725237 and holds a License No. ML30105643 (Washington).

The current practice location address for Tiffani Jordan Lautenslager is 521 E Mountain View Ave, Ellensburg, WA and can be reached out via phone at 509-962-1414 and via fax at 509-452-5224.

Location: 521 E Mountain View Ave, Ellensburg, WA, 98902-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225725237
Provider Name
Tiffani Jordan Lautenslager
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
521 E Mountain View Ave, Ellensburg, WA, 98902-3550
Phone Number
509-962-1414
Fax Number
509-452-5224
Provider Enumeration Date
04/19/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2255356 05 WA
institution
Provider Business Practice Location Address Details
Address
521 E Mountain View Ave
City
Ellensburg
State
Washington
Zip
98926-3865
Phone Number
509-962-1414
Fax Number
509-452-5224
person
Provider Business Mailing Address Details
Address
521 E Mountain View Ave
City
Ellensburg
State
Washington
Zip
98926-3865
Phone Number
509-962-1414
Fax Number
509-452-5224
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ML30105643 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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