Andrea Brooks Lantz
Allergist & Immunologist
48 Creekview Ct
Greenville
, South Carolina 29615-4800
Andrea Brooks Lantz
Allergist & Immunologist
48 Creekview Ct
Greenville
, South Carolina 29615-4800
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Andrea Brooks Lantz
- Po Box 603725
- Charlotte, NC
- Zip : 28260-3725
- Fax : (828) 350-2174
- Phone : (828) 575-2625
Second Address
- Andrea Brooks Lantz
- 48 Creekview Ct
- Greenville, SC
- Zip : 29615-4800
- Fax : (864) 458-7463
- Phone : (864) 458-7431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 18759 | SC |
National Provider Identifier
| NPI | 1164412318 |
|---|---|
| Provider Name | Andrea Brooks Lantz |
| First Address | Charlotte, NC 28260-3725 |
| Second Address | Greenville, SC 29615-4800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 27/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 187595 | (05) | SC |
| 70512 | PARTNERS (01) | SC |
| 7773106 | AETNA (01) | SC |
| H262816910 | MEDICARE PTAN (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.