Davidson, Robert Lantz

Davidson, Robert Lantz is an individual health care provider with primary practice located at 3525 E Louise Dr Ste 195 , Meridian ID 83642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Davidson, Robert Lantz can be contacted via phone (208) 846-8335.

Contact Information

Primary practice address
3525 E Louise Dr Ste 195 Meridian ID 83642
Phone: (208) 846-8335
Fax: (208) 846-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M7907 Idaho
Other Service Providers / Specialist 174400000X M7907 Idaho

Profile Details

NPI number 1144275694
LBN Legal business name Davidson, Robert Lantz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144275694 NPPES
Idaho MEDICAID 003661400

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