Individual
LILIANA GABRIELA LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JEFFERSON BLVD, WARWICK, RI 02888-3850
(401) 463-3060
(401) 463-9990
Mailing address
100 JEFFERSON BOULEVARD, WARWICK, RI 02888
(401) 463-3060
(401) 463-9990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02189
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402251
BLUE CHIP
RI
01
—
64-00223
ZENILED
RI
01
—
7542-8
BLUE CROSS
RI
Enumeration date
02/10/2009
Last updated
02/10/2009
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