Bradly Lantz, PA

NPI #1063988723 in Vestal, New York

Provider Information

NPI Number: 1063988723
Entity Type: Individual
Name: Bradly Lantz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 4417 VESTAL PKWY E
City: Vestal
State: New York
ZIP Code: 13850-3556
Phone: (607) 729-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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