Individual
BRANDY LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 EDGEWOOD DR, NICHOLASVILLE, KY 40356-1869
(859) 305-6340
Mailing address
143 OGG LN, BEREA, KY 40403-9621
(859) 353-2886
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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