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1114169174
TARA LEE LAUTENSLAGER
MOUNT LAUREL, NJ
NPI
1114169174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NJ 25MA09466500)
Enumeration Date
2009-04-06
Last Update Date
2019-05-10
Business Address
TARA LEE LAUTENSLAGER M.D.
501 FELLOWSHIP RD SUITE 101
MOUNT LAUREL, NJ 08054-3419
Phone number: 856-642-2133
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Mailing Address
TARA LEE LAUTENSLAGER M.D.
1 FEDERAL ST # 200
CAMDEN, NJ 08103-1088
Phone number: 856-356-4924
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