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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
12085R0202XDiagnostic Radiology PhysicianME139193FL
22085R0202XDiagnostic Radiology Physician95-279NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5300117699OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
110004752OTHERNMLOVELACE
2201005567OTHERNMPRESBYTERIAN SALUD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4NM009B98OTHERNMBCBS & HMO OF NM
6MEDICAID 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

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