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NPI Code Detail

MEDICARE: MRS. TAMMY HARRIS LANTZ RN

MEDICARE: MRS. TAMMY HARRIS LANTZ RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN568603PA

General Provider Information

NPI Number : 1295205094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY HARRIS LANTZ RN
Provider Business Mailing Address
First Line : 201 CHARLESTON RD
Second Line :
City : SHARPSVILLE
State : PA
Zip : 16150-3303
Country : US
Telephone Number : 724-813-4124
Fax Number :
Provider Business Practice Location Address
First Line : 3676 NORTH HERMITAGE ROAD SUITE 6
Second Line :
City : TRANSFER
State : PA
Zip : 16154-1852
Country : US
Telephone Number : 330-726-0700
Fax Number : 330-726-1114
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2018
Last Update Date : 12/05/2018

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