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 |
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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