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
Fax: (770) 237-9404
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841209665 NPPES
Georgia MEDICAID 000889655A

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