Lantz, Jeri L

Lantz, Jeri L is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lantz, Jeri L can be contacted via phone (540) 224-5170.

Contact Information

Primary practice address
3 Riverside Cir Roanoke VA 24016-4955
Fax: (540) 772-8219
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101231311 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101231311 Virginia

Profile Details

NPI number 1306828876
LBN Legal business name Lantz, Jeri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 29th, 2024 - about 2 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 1306828876 NPPES
Virginia MEDICAID 005863538
Virginia MEDICAID 005863147
Virginia MEDICAID 005863155
Virginia MEDICAID 005885981
Virginia MEDICAID 1306828876

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