| NPI | 1023591302 |
|---|---|
| Former Name | KERI LYNN LANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: WI 150214) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |