Individual
JAYME LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2936 FRONTAGE RD, WARSAW, IN 46580-3914
(574) 306-2145
Mailing address
20085 TURQUOISE LN, GOSHEN, IN 46528-6294
(574) 612-2524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009510A
IN
Other
Enumeration date
10/19/2019
Last updated
02/12/2024
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