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1154310456
GREGORY CHARLES LANTZ
WATERLOO, IA
NPI
1154310456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: IA 00358)
Enumeration Date
2005-10-19
Last Update Date
2023-02-27
Business Address
GREGORY CHARLES LANTZ DPM
927 W 4TH ST
WATERLOO, IA 50702-2801
Phone number: 319-233-6107
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Mailing Address
GREGORY CHARLES LANTZ DPM
927 W 4TH ST
WATERLOO, IA 50702-2801
Phone number: 319-233-6107
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