Dylan Lautanen, PTA is a
Physical Medicine & Rehabilitation physician based in Newberry, Florida. Dylan Lautanen is licensed to practice in Florida (license number PTA33909) and his current practice location is 13559 Nw 1st Ln, Newberry, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 505-6665.
NPI number for Dylan Lautanen is 1205648185 and his current mailing address is 13559 Nw 1st Ln, Newberry, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205648185.
Physician's Profile
| Full Name | Dylan Lautanen |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 13559 Nw 1st Ln, Newberry, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205648185
- Provider Enumeration Date: 01/27/2025
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Dylan Lautanen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205648185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA33909 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dylan Lautanen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dylan Lautanen, PTA
13559 Nw 1st Ln,
Newberry, FL 32669-3473
Ph: () - | Dylan Lautanen, PTA
13559 Nw 1st Ln,
Newberry, FL 32669-3473
Ph: (352) 505-6665 |
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