# DR. HOLLY L LANTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619040359
- **Gender:** F
- **Credential:** AU.D., F-AAA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A-0192 | WV | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 03/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3403010000 | — | WV |