Individual
THOMAS J. LANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
474 MAIN ST, SPRINGVALE, ME 04083-1409
(207) 324-1500
(207) 490-5263
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD12436
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308530099
—
ME
Enumeration date
08/12/2006
Last updated
07/14/2016
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