Individual
LANTZ BELIZAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 NEWSOM ST, FORT COLLINS, CO 80524-3861
(407) 446-9251
Mailing address
1108 NEWSOM ST, FORT COLLINS, CO 80524-3861
(407) 446-9251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000599
CO
Other
Enumeration date
05/16/2015
Last updated
05/16/2015
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