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Individual

DR. DAVID ALAN LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
631 PROFESSIONAL DR, SUITE 360, LAWRENCEVILLE, GA 30046
(770) 962-4895
(770) 237-9404
Mailing address
631 PROFESSIONAL DR, SUITE 360, LAWRENCEVILLE, GA 30046
(770) 962-4895
(770) 237-9404

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23623
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000889655A
GA
Enumeration date
08/08/2006
Last updated
10/31/2013
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