MRS. ELIZABETH MAURENE LAUTERBACH (NPI# 1932535846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932535846 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH MAURENE LAUTERBACH |
| Other Name | ELIZABETH MAURENE OLSON |
| Credential | PA-C |
| Practice Address |
205 S Park Ln Altus OK 73521-5755 |
| Mailing Address |
1200 E Pecan St Altus OK 73521-6141 |
| Practice Telephone | 5803796650 |
| Practice Fax Number | 5803796659 |
| Mailing Telephone | 5803795000 |
| Mailing Fax Number | 5803795509 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2017-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2509 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200511530A | 05 |
| Street Address |
205 S PARK LN |
| City | ALTUS |
| State | OK |
| Zip Code | 73521-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| 1013542406 | Jorge Cardenas | Registered Nurse | 205 S Park Ln, Altus, OK 73521-5755 | 2020-03-06 |
| 1295230209 | Kristi Nicole Fry | Nurse Practitioner | 205 S Park Ln, Altus, OK 73521-5755 | 2018-03-30 |
| 1245614387 | Jackson County Memorial Hospital Authority | Clinic/Center | 205 S Park Ln, Altus, OK 73521-5755 | 2015-07-18 |
| 1063809531 | Rose Ngishu | Internal Medicine | 205 S Park Ln, Altus, OK 73521 | 2015-04-22 |
| 1053711648 | Kelley Duncan | Occupational Therapist | 205 S Park Ln, Suite 100, Altus, OK 73521-5755 | 2014-09-02 |
| 1740619899 | Gabrielle Daniel Arndt | Physician Assistant | 205 S Park Ln, Suite 210, Altus, OK 73521-5755 | 2013-11-08 |
| 1528322476 | Alejandro Pacheco | Family Medicine | 205 S Park Ln, Altus, OK 73521-5755 | 2012-06-26 |
| 1093021016 | Ama Isaac | Family Medicine | 205 S Park Ln, Suite 210, Altus, OK 73521-5755 | 2010-08-27 |
| 1275847303 | Lonnie Edwin Perryman Jr. | Family Medicine | 205 S Park Ln, Altus, OK 73521-5755 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1235112426 | Air Evac Ems Inc | Ambulance | 6333 N Main Street, Altus, OK 73521 | 2005-11-22 |
| Find all providers in zip 73521 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346892 | Ana C Labiosa Colon | Physician Assistant | 1012 Dollar St, Altus, OK 73521-6931 | 2020-01-30 |
| 1528481322 | Erica Camilletti | Physician Assistant | 201 S Park Ln, Altus, OK 73521-5733 | 2014-01-29 |
| 1740619899 | Gabrielle Daniel Arndt | Physician Assistant | 205 S Park Ln, Suite 210, Altus, OK 73521-5755 | 2013-11-08 |
| 1083854939 | Amanda Marie Caldwell | Physician Assistant | 304 S Park Ln, Altus, OK 73521-5753 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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| 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.