RUSSELL GUY LANTZ

CHESAPEAKE, VA
NPI1861520637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110000082)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Mr. RUSSELL GUY LANTZ P.A.
2010 OLD GREENBRIER RD STE B
CHESAPEAKE, VA 23320-2619
Phone number: 757-361-6634
Mailing Address
Mr. RUSSELL GUY LANTZ P.A.
2213 HUNTERS WOOD WAY
VIRGINIA BEACH, VA 23454-2103
Phone number: 757-650-9477
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