SHANNON LANTZ

JACKSON, TN
NPI1912885500
Former NameSHANNON COSTELLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  155447)
Enumeration Date2025-08-22
Last Update Date2025-08-22
Business Address
SHANNON LANTZ CRNA
620 SKYLINE DR
JACKSON, TN 38301-3923
Phone number: 731-541-5000
Mailing Address
SHANNON LANTZ CRNA
163 CROOKED CREEK LN
MEDINA, TN 38355-8931
Phone number: 508-209-3003