Individual
DYLAN LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
503 BOWMAN GRAY DR, GREENVILLE, NC 27834-7286
(252) 816-4001
Mailing address
102 SEAVIEW ST, BEAUFORT, NC 28516-2326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5014316
NC
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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