SETH LAUTERBACH


Address: 1017 Grove Avenue, Crete, NE 68333
Phone: 4023107913

SETH LAUTERBACH (NPI# 1063733988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063733988
Entity Type Individual
Full Name SETH LAUTERBACH
Practice Address 1017 Grove Avenue
Crete
NE 68333
Mailing Address 1017 Grove Ave
Crete
NE 68333-2349
Practice Telephone 4023107913
Mailing Telephone 4023107913
Enumeration Date 2010-06-15
Last Update Date 2014-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1017 GROVE AVENUE
City CRETE
State NE
Zip Code 68333

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841833597 Mackenzie Riedel Psychologist Crete Public Schools, 920 Linden Ave, Crete, NE 68333 2019-10-25
1205208725 Kristy Denise Miller Specialist 309 East 11th Street, Crete, NE 68333 2015-10-23
1700821576 Victoria R Rethmeier Dietitian, Registered 2910 Betten Drive, Crete, NE 68333 2006-06-17
1841246170 Crete Physical Therapy, LLC Physical Therapist 1105 E Highway 33, Crete, NE 68333 2006-05-26
1699010702 Oscar Samuel Lucar Physician Assistant 2910 Betten Dr, Crete, NE 68333 2012-11-29
1528140555 Troy Lee Miller Family Medicine 2910 Betten Drive, Crete, NE 68333 2006-10-19
1518911379 Richard Allen Felsing Chiropractor 1314 Main Ave, Crete, NE 68333-1504 2006-05-19
1831283316 Bkm Inc Pharmacy 1302 Linden Ave, Crete, NE 68333-1554 2006-10-02
1861622094 Traci Ann Phipps Massage Therapist 1542 Hawthorne Ave, Crete, NE 68333-1627 2009-07-22
1659491108 James Edward Jirovec Dentist 1304 Kingwood Ave, Crete, NE 68333-1641 2007-03-29
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518031194 Peter W Hunt Physician Assistant Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 2006-11-17
1285643189 Charles E Scholtes Physician Assistant 8207 Northwoods Drive, Lincoln, NE 68505-2093 2006-08-07
1447237284 Todd Allen Sorensen Physician Assistant 2222 S 16th St Medical Tower B, Ste 305, Lincoln, NE 68502 2005-12-22
1609851005 Timothy J Yrastorza Physician Assistant 4740 A St, Suite 100, Lincoln, NE 68510-4824 2005-12-08
1972597466 Joseph D Blankenship Physician Assistant 3011 Avenue B, Scottsbluff, NE 69361-4372 2005-09-09
1972596435 Hyla Rosmary Robbins Physician Assistant 55mdg 2501 Capehart Rd., Offutt Afb, NE 68113-2160 2005-08-30
1457354789 Jennifer Chavez Physician Assistant 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 2005-05-31
1225031776 Jason R Hadenfeldt Physician Assistant 620 N Diers Ave Ste 200, Grand Island, NE 68803-4985 2005-05-28
1184224537 Ashton N Groves Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2020-10-27
1336763879 Makenzie Polacek Physician Assistant 13616 California St Ste 100, Omaha, NE 68154-5336 2020-06-01
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Competitor

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City CRETE
Zip Code 68333

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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