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Individual
LLOYD ALTON TANTUM
Active
Individual
LLOYD ALTON TANTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODT694
TN
152WC0802X
Corneal and Contact Management Optometrist
OPT-OPT-LIC-823
MT
Other
Enumeration date
03/17/2006
Last updated
06/27/2017
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