Individual
DANIEL T LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
203 S 16TH ST, CLARINDA, IA 51632-2107
(712) 542-6521
(712) 542-4209
Mailing address
PO BOX 257, CLARINDA, IA 51632-0257
(712) 542-6521
(712) 542-4209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1803
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218172
—
IA
Enumeration date
08/18/2005
Last updated
12/07/2007
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