Individual
PENNY LONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2874 N CARSON ST, CARSON CITY, NV 89706-0251
(907) 617-7549
Mailing address
1412 WATER ST, KETCHIKAN, AK 99901-6016
(907) 617-7549
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3529
NV
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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