Organization
JAMIE LANTZ, LLC
Active
Other names
Professional Hearing Center, Professional Hearing Speech & Balance Center, Jill Gordan Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LANTZ AUD (OWNER)
(732) 303-9660
Entity
Organization
Contact information
Practice address
4257 US HIGHWAY 9 BLDG 6, FREEHOLD, NJ 07728-8310
(732) 303-9660
(732) 303-1810
Mailing address
4257 US HIGHWAY 9 BLDG 6, FREEHOLD, NJ 07728-8310
(732) 303-9660
(732) 303-1810
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7939809
—
NJ
Enumeration date
12/06/2006
Last updated
10/11/2022
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