Individual
LEASA MARIE LANTZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
315 3RD AVE. N.E., WAVERLY, IA 50677
(319) 352-3327
Mailing address
315 3RD AVE. N.E., WAVERLY, IA 50677
(319) 352-3327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00922
IA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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