Individual
KRISTY MARIE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 TAMARACK DR, PARMA, OH 44134-6266
(440) 572-1337
Mailing address
4040 TAMARACK DR, PARMA, OH 44134-6266
(440) 572-1337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP12779
OH
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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