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Individual

PATRICIA M LANTIS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6104
(404) 785-1462
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6104
(404) 785-1462

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
041332
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00691358D
GA
Enumeration date
05/12/2006
Last updated
07/08/2007
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