Lantz, Andrea Brooks

Lantz, Andrea Brooks is an individual health care provider with primary practice located at 48 Creekview Ct , Greenville SC 29615-4800. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Lantz, Andrea Brooks can be contacted via phone (864) 458-7431.

Contact Information

Primary practice address
48 Creekview Ct Greenville SC 29615-4800
Phone: (864) 458-7431
Fax: (864) 458-7463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 18759 South Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD18759 South Carolina

Profile Details

NPI number 1164412318
LBN Legal business name Lantz, Andrea Brooks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Oct 31st, 2023 - about last year

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 1164412318 NPPES
South Carolina Other H262816910 MEDICARE PTAN
South Carolina MEDICAID 187595 MEDICARE PTAN

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