Individual ProviderAmy Lyn LauterbachCounselorBehavioral Health & Social Service ProvidersPractice Address25955 W 327th St, Paola, KS 66071-4920(913) 557-9096PECOS EnrollmentBased on the most recent information from CMS, provider Amy Lyn Lauterbach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:54 AM.Profile DetailsProvider ID1588997795Provider TypeIndividualFull NameLauterbach, Amy LynCredentialLMLPGenderFemaleSole ProprietorNoEnumeration Date9/8/2009Last Updated11/17/2014Contact InformationPractice LocationPractice Address25955 W 327th St, Paola, KS 66071-4920Phone(913) 557-9096Fax(913) 294-9247Mailing LocationMailing AddressPO Box 677, Ottawa, KS 66067-0677Phone(913) 557-9096Fax(913) 294-9247Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLMLP 1338Kansas