Individual
KATIE R LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1008 S SPRING AVE, SAINT LOUIS, MO 63110-2520
(314) 977-4740
Mailing address
7 ELLIS DR, LAKE SAINT LOUIS, MO 63367-1136
(217) 649-8547
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019043938
MO
Other
Enumeration date
12/18/2019
Last updated
11/06/2020
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