ANDREA BROOKS LANTZ MD

Allergy and Immunology

Greenville, South Carolina

Provider NPI: 1164412318

Provider Information:
 ANDREA BROOKS LANTZ MD


Practice Location:
48 CREEKVIEW CT  GREENVILLE, SC 29615 US
Tel: 864-458-7431  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	SC	18759

Other Provider Identifiers:

Issuer	Number	State	Type
AETNA	7773106	SC	01
MEDICARE PTAN	H262816910	SC	01
	187595	SC	05
PARTNERS	70512	SC	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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