CAROL J LANTZ

SPRINGFIELD, IL
NPI1114435559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209017355)
Enumeration Date2018-01-19
Last Update Date2018-08-10
Business Address
CAROL J LANTZ APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Phone number: 217-588-2600
Mailing Address
CAROL J LANTZ APN
PO BOX 3428
SPRINGFIELD, IL 62708-3428
Phone number: 217-588-2624
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