Individual
ELENI LANTZOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - ADOLESCENT MED, PHILADELPHIA, PA 19104-4319
(215) 590-6864
(215) 590-4708
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9232
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
35-078763
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD072121L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2232300
—
OH
Enumeration date
10/01/2006
Last updated
07/09/2013
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