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
Phone: (425) 455-9945
Fax: (425) 455-9947
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811082993 | NPPES |
| Washington | MEDICAID | 8102519 |
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