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Individual

MR. BRYAN T LANTZ

Active
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Individual

MR. BRYAN T LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0486P
NH
363A00000X
Physician Assistant
0550030669
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004009NH01
ANTHEM BC/BS OF NEW HAMPSHIRE
NH
05
—
0AP2011
—
VT
01
—
1387569
CIGNA HEALTHCARE
NH
01
—
2972483
AETNA
NH
05
—
30332565
—
NH
01
—
421539118
UNITED HEALTHCARE
NH
01
—
59775
BCVT
VT
01
—
710024
MVP
VT
01
—
F75854
HARVARD PILGRIM
NH
Enumeration date
03/24/2006
Last updated
10/08/2025
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