Individual
CHRIS DELAINE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-3600
(319) 339-3786
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2689
(319) 339-3600
(319) 339-3786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22639
IA
207Q00000X
Family Medicine Physician
22639
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192005
—
IA
01
—
53371
BLUE CROSS BLUE SHIELD
IA
Enumeration date
03/27/2006
Last updated
01/14/2010
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