Individual
MR. MICHAEL JOHN LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
301 W MAIN ST, WATERTOWN, WI 53094-7629
(920) 206-9588
Mailing address
4514 BARBY LN, MADISON, WI 53704-1706
(608) 249-4335
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11758-040
WI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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