Lantz, Todd

Lantz, Todd is an individual health care provider with primary practice located at 124 Verdae Blvd. Suite 204, Greenville SC 29607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lantz, Todd can be contacted via phone (864) 271-9780.

Contact Information

Primary practice address
124 Verdae Blvd. Suite 204 Greenville SC 29607
Phone: (864) 271-9780
Fax: (864) 271-9785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 17927 South Carolina

Profile Details

NPI number 1114913324
LBN Legal business name Lantz, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 22nd, 2015 - about 9 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 1114913324 NPPES
South Carolina MEDICAID 179274

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