Alisha Marie Lautsch
NPI #1164093639 in East Northport, New York
Provider Information
- NPI Number
- 1164093639
- Entity Type
- Individual
- Name
- Alisha Marie Lautsch
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jul 6, 2021
Practice Location
- Address
- 297 TOWN LINE RD
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-5502
- Phone
- (631) 223-6636
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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