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1801864970

NPI Code Detail

MEDICARE: PIERRE LANTHIEZ MD

MEDICARE: PIERRE LANTHIEZ 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
1	2085R0202X	Diagnostic Radiology Physician	ME139193	FL
2	2085R0202X	Diagnostic Radiology Physician	95-279	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	300117699	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10004752	OTHER	NM	LOVELACE
2	201005567	OTHER	NM	PRESBYTERIAN SALUD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	NM009B98	OTHER	NM	BCBS & HMO OF NM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801864970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIERRE LANTHIEZ MD

Provider Business Mailing Address
First Line	:	1770 IOWA AVE STE 280
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-7401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8201 E RIVERSIDE BLVD
Second Line	:
City	:	ROCKFORD
State	:	IL
Zip	:	61114-2300
Country	:	US
Telephone Number	:	815-971-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/13/2025

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Directions to “ PIERRE LANTHIEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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