Selena Anne Lantry, M.d., INC
NPI #1053614404 in Glendale, California
Provider Information
- NPI Number
- 1053614404
- Entity Type
- Organization
- Organization Name
- Selena Anne Lantry, M.d., INC
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 7, 2010
- Last Updated
- Dec 7, 2010
Practice Location
- Address
- 1505 WILSON TER STE 130
- City
- Glendale
- State
- California
- ZIP Code
- 91206-4074
- Phone
- (818) 247-2164
Authorized Official
- Name
- DR. SELENA ANNE LANTRY
- Title
- PRESIDENT
- Phone
- (818) 247-2164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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