Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | L-247477 | MA |
Y | 2086S0105X | Surgery of the Hand | 64653 | MN |
NPI | 1972897957 |
---|---|
Provider Name | Lauren K Dutton |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2011 |
Last Update Date | 27/08/2019 |