Individual
JOSH LANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1526 MENARD ST, SAINT LOUIS, MO 63104-3714
(314) 436-4538
Mailing address
1526 MENARD ST, SAINT LOUIS, MO 63104-3714
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2002014689
MO
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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