Individual
DR. ROBERT LANTZ DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M7907
ID
207RN0300X
Nephrology Physician
Primary
M7907
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003661400
—
ID
Enumeration date
05/23/2006
Last updated
05/16/2018
Update your record
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