person
Timothy S Lautenslager, APNP
Family Nurse Practitioner in Green Bay, Wisconsin
NPI 1982340626

Timothy S Lautenslager is a Family Nurse Practitioner based in Green Bay, WI and is specialized in Family. Timothy S Lautenslager practices in Green Bay, WI and has the professional credentials of APNP. The NPI Number for Timothy S Lautenslager is 1982340626 and holds a License No. 12136-33 (Wisconsin).

The current practice location address for Timothy S Lautenslager is 1630 Commanche Ave, Green Bay, WI and can be reached out via phone at 920-433-6000 and via fax at 920-430-4719.

Location: 1630 Commanche Ave, Green Bay, WI, 54305-2487
person
Provider Profile Details
NPI Number
1982340626
Provider Name
Timothy S Lautenslager
Credential
APNP
Provider Entity Type
Individual
Gender
Male
Address
1630 Commanche Ave, Green Bay, WI, 54305-2487
Phone Number
920-433-6000
Fax Number
920-430-4719
Provider Enumeration Date
05/06/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12136-33 01 WI WISCONSIN PROFESSIONAL LICENSE
F06220495 01 AMERICAN ACADEMY OF NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
1630 Commanche Ave
City
State
Zip
54313-5753
Phone Number
920-433-6000
Fax Number
920-430-4719
person
Provider Business Mailing Address Details
Address
1630 Commanche Ave
City
State
Zip
54313-5753
Phone Number
920-433-6000
Fax Number
920-430-4719
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
12136-33 (Wisconsin)
Definition
Definition to come...
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