Lantz, Michele Lee

Lantz, Michele Lee is an individual health care provider with primary practice located at 29520 Canvasback Dr , Easton MD 21601-7124. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lantz, Michele Lee can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29520 Canvasback Dr Easton MD 21601-7124
Fax: (410) 822-5569
Website:

Profile Details

NPI number 1164897906
LBN Legal business name Lantz, Michele Lee
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2015
Last updated Jun 4th, 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 1164897906 NPPES
Maryland MEDICAID 609550002
Maryland MEDICAID 609500301

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