Lantz, Dan M

Lantz, Dan M is an individual health care provider with primary practice located at 2330 130Th Ave Ne Ste 201 , Bellevue WA 98005-1756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lantz, Dan M can be contacted via phone (425) 455-9945.

Contact Information

Primary practice address
2330 130Th Ave Ne Ste 201 Bellevue WA 98005-1756
Fax: (425) 455-9947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00020553 Washington
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD00020553 Washington

Profile Details

NPI number 1811082993
LBN Legal business name Lantz, Dan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 5th, 2007 - about 17 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 1811082993 NPPES
Washington MEDICAID 8102519

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