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Individual

CHARLOTTE L LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1301 ELIZABETH PIKE, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
36761
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810005405
WV
Enumeration date
06/17/2005
Last updated
08/06/2021
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