Evan Lantzman in Santa Rosa - Orthotic Fitter

Evan Lantzman - NPI 1386833713

Evan Lantzman is a Orthotic Fitter in Santa Rosa, California. Evan Lantzman practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Evan Lantzman is 1386833713. The last update date is 2009-09-22.

Evan Lantzman's current location address is 3663 N Laughlin Rd Ste 103, Santa Rosa, California. You can contact this provider via phone number 7075287999. The mailing address for Evan Lantzman is 3663 N Laughlin Rd Ste 103, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Evan Lantzman
Address 3663 N Laughlin Rd Ste 103, Santa Rosa, California
Phone Number 7075287999
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1386833713
Provider Enumeration Date 2007-10-22
Last Updated Date 2009-09-22

Provider Mailing Address Detail

Address 3663 N Laughlin Rd Ste 103
City Santa Rosa
State California (CA)
Post Code 954039067
Phone Number 7075287999
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Definition:
An individual trained in the management of fitting prefabricated orthoses.

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FAQs about Evan Lantzman

What is the unique identifier code issued to Evan Lantzman by the Centers for Medicare & Medicaid Services (CMS)?

The Evan Lantzman has been assigned the NPI (National Provider Identifier) 1386833713. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Evan Lantzman located?

The Evan Lantzman is located at 3663 N Laughlin Rd Ste 103, Santa Rosa, CA 954039067.

What is the Evan Lantzman's specialty and taxonomy code?

The Evan Lantzman's specialty is Orthotic Fitter, and the corresponding taxonomy code is 225000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386833713 to Evan Lantzman?

The Centers for Medicare & Medicaid Services originally issued the 1386833713 to Evan Lantzman on 2007-10-22.

As of what date was the information regarding Evan Lantzman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Evan Lantzman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-09-22.

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