Individual
JOHN LANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 W 59TH ST FL 7, NEW YORK, NY 10019-8022
(212) 523-7780
Mailing address
425 W 59TH ST FL 7, NEW YORK, NY 10019-8022
(212) 523-7780
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2180831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091610
—
NY
Enumeration date
10/20/2005
Last updated
05/12/2026
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