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NPI Code Detail

MEDICARE: MATTHEW L LANTERNIER MD

MEDICARE: MATTHEW L LANTERNIER MD
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
1207Q00000XFamily Medicine Physician32189IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080164217OTHERIARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437148285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW L LANTERNIER MD
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-384-7000
Fax Number : 319-467-7400
Provider Business Practice Location Address
First Line : 3640 MIDDLEBURY RD
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-2712
Country : US
Telephone Number : 319-384-7000
Fax Number : 319-467-7400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 04/10/2018

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