Lantz, Deana M

Lantz, Deana M is an individual health care provider with primary practice located at 4211 Van Dyke Rd Suit 101B, Lutz FL 33558-8005. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lantz, Deana M can be contacted via phone (813) 960-4026.

Contact Information

Primary practice address
4211 Van Dyke Rd Suit 101B Lutz FL 33558-8005
Phone: (813) 960-4026
Fax: (813) 443-8166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP011064 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9429783 Florida

Profile Details

NPI number 1881995579
LBN Legal business name Lantz, Deana M
Credentials ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Jul 7th, 2022 - about 2 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 1881995579 NPPES
Florida MEDICAID 017980000

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