Individual
LINNEA LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 995-5885
(916) 734-7950
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4078
(916) 734-7950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A19416
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
08/24/2022
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