Individual
DAN M LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2330 130TH AVE NE STE 201, BELLEVUE, WA 98005-1756
(425) 455-9945
(425) 455-9947
Mailing address
2330 130TH AVE NE STE 201, BELLEVUE, WA 98005-1756
(425) 455-9945
(425) 455-9947
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00020553
WA
207ND0900X
Dermatopathology Physician
MD00020553
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102519
—
WA
Enumeration date
10/04/2006
Last updated
10/05/2007
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