Individual
BRENT A LANTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, SUITE 200, CHARLOTTE, NC 28207-1219
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2011-00069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC1451
—
SC
Enumeration date
08/08/2011
Last updated
10/13/2011
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