Individual
AMBER DONN LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1070 COUNTRY CLUB DR, SUITE C, SIMI VALLEY, CA 93065-8371
(805) 306-0222
Mailing address
1538 TRIANGLE CIR, DENVER, NC 28037-8033
(805) 587-1193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17529
CA
Other
Enumeration date
12/08/2011
Last updated
08/18/2021
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