Individual
LANA K BRETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(269) 349-8386
(269) 349-8397
Mailing address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(269) 349-8386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704293707
MI
Other
Enumeration date
08/03/2017
Last updated
08/08/2017
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