Lantz, Krystal L

Lantz, Krystal L is an individual health care provider with primary practice located at 1558 Hayes Dr , Manhattan KS 66502. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Lantz, Krystal L can be contacted via phone (785) 587-4315.

Contact Information

Primary practice address
1558 Hayes Dr Manhattan KS 66502
Phone: (785) 587-4315
Fax: (785) 587-4377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1402 Kansas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1460 Kansas

Profile Details

NPI number 1215213186
LBN Legal business name Lantz, Krystal L
Credentials LCP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated Aug 30th, 2018 - about 6 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 1215213186 NPPES
Kansas MEDICAID 200742900B

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