Individual
LYNDSEY JACKSON LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911
(434) 654-7580
(434) 654-7582
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(888) 236-2263
(757) 390-4551
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024182144
VA
363LA2200X
Adult Health Nurse Practitioner
5014612
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
0024182144
VA
Other
Enumeration date
06/28/2021
Last updated
08/30/2023
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