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Individual

VIRGINIA LANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
W1026 GREEN RD, GENOA CITY, WI 53128-1448
(262) 949-8816
Mailing address
PO BOX 18, GENOA CITY, WI 53128-0018
(262) 949-8816

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311842-031
WI

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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