Individual
JULIE A LANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2818 MACK RD, FAIRFIELD, OH 45014-5130
(513) 900-0750
(513) 816-7631
Mailing address
2818 MACK RD, FAIRFIELD, OH 45014-5130
(513) 900-0750
(513) 816-7631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001643
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95002291
—
KY
Enumeration date
07/21/2005
Last updated
05/20/2016
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