Individual
MRS. LISA MARIE LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
339 E MAPLE ST STE 100, CANTON, OH 44720-2593
(330) 498-8205
Mailing address
3533 FRANKLIN RD, STOW, OH 44224-4020
(330) 203-9533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05625
OH
Other
Enumeration date
12/15/2013
Last updated
12/15/2013
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