Individual
DR. MELISSA M LANTZ
Active
Individual
DR. MELISSA M LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MB06803000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664364
—
PA
01
—
047209
HIGHMARK BS
PA
01
—
16643640009
MEDICAL ASSISTANCE PA
PA
01
—
2967462
MEDICAL ASSISTANCE NY
PA
Enumeration date
06/28/2006
Last updated
03/15/2017
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