Individual
MRS. KRYSTAL L LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
1558 HAYES DR, MANHATTAN, KS 66502
(785) 587-4315
(785) 587-4377
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1460
KS
103TC0700X
Clinical Psychologist
1402
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200742900B
—
KS
Enumeration date
10/24/2011
Last updated
08/30/2018
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