Lantz, Melissa M
Lantz, Melissa M is an individual health care provider with primary practice located at 33 Province Line Rd , Princeton NJ 08540-7543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Lantz, Melissa M can be contacted via phone (952) 595-1100.Contact Information
Primary practice address
33 Province Line Rd
Princeton NJ 08540-7543
Phone: (952) 595-1100
Fax: (952) 942-3361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MB06803000 | New Jersey |
Profile Details
| NPI number | 1124055538 |
|---|---|
| LBN Legal business name | Lantz, Melissa M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Mar 15th, 2017 - about 7 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 | 1124055538 | NPPES |
| Pennsylvania | MEDICAID | 001664364 | |
| Pennsylvania | Other | 2967462 | |
| Pennsylvania | Other | 047209 | |
| Pennsylvania | Other | 16643640009 |
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