Individual
MRS. STACEY LYNETTE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11277 VERNON PLACE ROAD, MEADVILLE, PA 16335
(814) 333-5214
(814) 333-1482
Mailing address
11277 VERNON PLACE ROAD, MEADVILLE, PA 16335
(814) 333-5214
(814) 333-1482
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002586
PA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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