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1114435559
CAROL J LANTZ
SPRINGFIELD, IL
NPI
1114435559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017355)
Enumeration Date
2018-01-19
Last Update Date
2018-08-10
Business Address
CAROL J LANTZ APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Phone number: 217-588-2600
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Mailing Address
CAROL J LANTZ APN
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-588-2624
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