Individual
MS. DEANA M LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
4211 VAN DYKE RD, SUIT 101B, LUTZ, FL 33558-8005
(813) 960-4026
(813) 443-8166
Mailing address
4211 VAN DYKE RD STE 101B, LUTZ, FL 33558-8005
(813) 960-4026
(813) 443-8166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9429783
FL
363LF0000X
Family Nurse Practitioner
SP011064
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017980000
—
FL
Enumeration date
11/11/2010
Last updated
07/07/2022
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