Individual
MR. BRYAN T LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-3498
(802) 251-8611
(802) 251-8419
Mailing address
241 ELM ST, CLAREMONT, NH 03743-2026
(603) 542-7666
(603) 542-9312
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0486P
NH
363A00000X
Physician Assistant
0550030669
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004009NH01
ANTHEM BC/BS OF NEW HAMPSHIRE
NH
05
—
0AP2011
—
VT
01
—
1387569
CIGNA HEALTHCARE
NH
01
—
2972483
AETNA
NH
05
—
30332565
—
NH
01
—
421539118
UNITED HEALTHCARE
NH
01
—
59775
BCVT
VT
01
—
710024
MVP
VT
01
—
F75854
HARVARD PILGRIM
NH
Enumeration date
03/24/2006
Last updated
10/08/2025
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