THEODORE R LIAUTAUD, Mental Health LAKE VIEW, IA

Contact Information

THEODORE R. LIAUTAUD

421 E SHORE DR
LAKE VIEW, IA 51450

Phone: 712-657-2211
Fax: 712-657-2106
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Mental Health	101YM0800X
Psychiatry	2084P0800X	26	Physician/Psychiatry

Indicates primary specialty

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NPI Profile & details for THEODORE R LIAUTAUD · (Female)

NPI #	`1487779575`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/20/2007
Last updated	09/30/2008 - About 18 years ago
Sole proprietor ¹	Not specified
Identifiers	IA License # 01790 IA Medicaid 0287888
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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THEODORE R LIAUTAUDMental Health

Contact Information

Specialty

Mental Health

Psychiatry

NPI Profile & details for THEODORE R LIAUTAUD · (Female)

Reviews for THEODORE R. LIAUTAUD

THEODORE R LIAUTAUD
Mental Health