Individual
BOBBIE GEAN LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 WOOD ST, DELTA, OH 43515-1113
(419) 822-4676
Mailing address
201 WOOD ST, DELTA, OH 43515-1113
(419) 822-4676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703109682
MI
164W00000X
Licensed Practical Nurse
Primary
PN139025
OH
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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