Individual
MRS. ALISON MACADAMS LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06102-5037
(860) 972-5022
Mailing address
13 SUMMERSWEET DR, GLASTONBURY, CT 06033
(413) 668-5895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
005535
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
005535
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004055356
—
CT
Enumeration date
09/19/2013
Last updated
11/25/2019
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