Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Lee Lautenslager, MD

Individual provider Gastroenterology Physician · NPI 1114169174

Tara Lee Lautenslager, MD practises Gastroenterology in Mount Laurel, New Jersey. Graduated from Rutgers School of Dental Medicine in 2009, 17 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
17
Trained at
Rutgers School of Dental Medicine
Licensed in
NJ
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

501 Fellowship Rd Ste 101
Mount Laurel, NJ 08054-3419
Phone: (856) 642-2133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 25MA09466500 (NJ)

Record details

NPI number1114169174
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2009
Last updated in NPPESMay 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2009 (17 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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