Individual
TODD LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 VERDAE BLVD., SUITE 204, GREENVILLE, SC 29607
(864) 271-9780
(864) 271-9785
Mailing address
124 VERDAE BLVD., SUITE 204, GREENVILLE, SC 29607
(864) 271-9780
(864) 271-9785
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17927
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179274
—
SC
Enumeration date
09/22/2005
Last updated
06/22/2015
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