Individual
SHAWN DOUGLAS LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-5811
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
92053
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA263500
GA
Other
Enumeration date
04/23/2013
Last updated
03/06/2026
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