Individual
EVAN LANTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3663 N LAUGHLIN RD STE 103, SANTA ROSA, CA 95403-9067
(707) 528-7999
Mailing address
3663 N LAUGHLIN RD STE 103, SANTA ROSA, CA 95403-9067
(707) 528-7999
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
09/22/2009
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