JERRY ALLAN LANTZ

PARKERSBURG, WV
NPI1407842529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WV  779-D)
Enumeration Date2005-09-23
Last Update Date2022-02-14
Business Address
JERRY ALLAN LANTZ O.D.
2014 DUDLEY AVE
PARKERSBURG, WV 26101-3405
Phone number: 304-422-1841
Mailing Address
JERRY ALLAN LANTZ O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: