Lantz, David Alan
Lantz, David Alan is an individual health care provider with primary practice located at 631 Professional Dr Suite 360, Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lantz, David Alan can be contacted via phone (770) 962-4895.Contact Information
Primary practice address
631 Professional Dr Suite 360
Lawrenceville GA 30046
Phone: (770) 962-4895
Fax: (770) 237-9404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 23623 | Georgia |
Profile Details
| NPI number | 1841209665 |
|---|---|
| LBN Legal business name | Lantz, David Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Oct 31st, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841209665 | NPPES |
| Georgia | MEDICAID | 000889655A |
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