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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124055538 NPPES
Pennsylvania MEDICAID 001664364
Pennsylvania Other 2967462
Pennsylvania Other 047209
Pennsylvania Other 16643640009

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