Individual
MRS. CARLA MARIE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 447-0573
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
137762
MO
367A00000X
Advanced Practice Midwife
209006948
IL
367A00000X
Advanced Practice Midwife
M02113CNM
AR
Other
Enumeration date
03/19/2008
Last updated
01/12/2011
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