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NPI Code Detail

MEDICARE: SARAH ANNE WHITNEY LANTZ APRN

MEDICARE:   SARAH ANNE WHITNEY LANTZ  APRN
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
1363LA2100XAcute Care Nurse Practitioner95022735CA
2363LF0000XFamily Nurse Practitioner95022735CA

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 : 1639847494
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ANNE WHITNEY LANTZ APRN
Provider Business Mailing Address
First Line : PO BOX 232410
Second Line :
City : SAN DIEGO
State : CA
Zip : 92193-2410
Country : US
Telephone Number : 800-926-8273
Fax Number :
Provider Business Practice Location Address
First Line : 200 W ARBOR DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-9000
Country : US
Telephone Number : 800-926-8273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2021
Last Update Date : 04/22/2026

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