Healthcare Provider Details

I. General information

NPI: 1639100407
Provider Name (Legal Business Name): DEBORAH RUTH LANTZ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 HARRY S TRUMAN PKWY STE 120
ANNAPOLIS MD
21401-7580
US

IV. Provider business mailing address

185 HARRY S TRUMAN PKWY STE 120
ANNAPOLIS MD
21401-7580
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-4442
  • Fax: 410-224-8898
Mailing address:
  • Phone: 410-224-4442
  • Fax: 410-224-8898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: