Individual
MRS. ELLEN ANNE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
802 KENYON ROAD, TRINITY REGIONAL MEDICAL CENTER NUTRITIONAL SERVICES, FORT DODGE, IA 50501
(712) 358-0038
Mailing address
59364 210TH AVE, POMEROY, IA 50575-8032
(712) 358-0038
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00515
IA
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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