person
Wyatt Jaymes Lautt, MD
Student in an Organized Health Care Education/Training Program in Fargo, North Dakota
NPI 1427732106

Wyatt Jaymes Lautt is a Student in an Organized Health Care Education/Training Program based in Fargo, ND. Wyatt Jaymes Lautt practices in Fargo, ND and has the professional credentials of MD. The NPI Number for Wyatt Jaymes Lautt is 1427732106 and holds a License No. 19871 (North Dakota).

The current practice location address for Wyatt Jaymes Lautt is 5225 23Rd Ave S, Fargo, ND and can be reached out via phone at 701-234-5933. You can also correspond with Wyatt Jaymes Lautt through the mailing address at 5225 23RD AVE S, FARGO, ND - 58104-7927 (mailing address contact number: 701-234-5933).

Location: 5225 23Rd Ave S, Fargo, ND, 58104-7927
person
Provider Profile Details
NPI Number
1427732106
Provider Name
Wyatt Jaymes Lautt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5225 23Rd Ave S, Fargo, ND, 58104-7927
Phone Number
701-234-5933
Fax Number
Provider Enumeration Date
06/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5225 23Rd Ave S
City
State
Zip
58104-7927
Phone Number
701-234-5933
Fax Number
person
Provider Business Mailing Address Details
Address
5225 23Rd Ave S
City
State
Zip
58104-7927
Phone Number
701-234-5933
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
19871 (North Dakota)
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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