Lantz, Michael Edward

Lantz, Michael Edward is an individual health care provider with primary practice located at 1647 Woodbrooke Dr , Salisbury MD 21804-8502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Lantz, Michael Edward can be contacted via phone (410) 546-2424.

Contact Information

Primary practice address
1647 Woodbrooke Dr Salisbury MD 21804-8502
Phone: (410) 546-2424
Fax: (410) 742-6633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X D0047414 Maryland

Profile Details

NPI number 1821090630
LBN Legal business name Lantz, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 23rd, 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 1821090630 NPPES
Maryland MEDICAID 119591300

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