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Individual
MEAGAN LANTZ
Active
Individual
MEAGAN LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62969
CA
Other
Enumeration date
04/03/2023
Last updated
01/22/2024
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